Intra-Abdominal Hypertension and Gastrointestinal Symptoms in Mechanically Ventilated Patients
Author Information
Author(s): Annika Reintam Blaser, Parm Pille, Kitus Reet, Joel Starkopf
Primary Institution: University of Tartu
Hypothesis
The study aimed to describe the incidence of intra-abdominal hypertension (IAH) and gastrointestinal (GI) symptoms and their related outcomes in mechanically ventilated patients.
Conclusion
GI symptoms and IAH often occur together, but patients with IAH alone without GI symptoms tend to have a better outcome.
Supporting Evidence
- 80.2% of patients experienced gastrointestinal symptoms.
- 38.2% of patients developed intra-abdominal hypertension.
- 93.4% of patients with intra-abdominal hypertension had gastrointestinal symptoms.
- The ICU mortality rate was highest in patients with both intra-abdominal hypertension and gastrointestinal symptoms.
Takeaway
This study found that many patients on breathing machines have stomach problems, and those with high pressure in their bellies usually have more stomach issues.
Methodology
The study involved monitoring intra-abdominal pressure and gastrointestinal symptoms in mechanically ventilated patients over a period of time.
Potential Biases
The definitions of GI symptoms were subjective, which may introduce bias.
Limitations
The study had subjective definitions for GI symptoms and was conducted at a single center.
Participant Demographics
The study included 398 mechanically ventilated patients, with a mean age of 57.3 years and a majority being male (64.3%).
Statistical Information
P-Value
<0.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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