Risk Factors for Intra-Abdominal Hypertension and Abdominal Compartment Syndrome in ICU Patients
Author Information
Author(s): Assunção M, Oliveira FS, Mazza BF, Freitas F, Jackiu M, Machado FR
Primary Institution: Escola Paulista de Medicina, Federal University of São Paulo, UNIFESP, São Paulo - SP, Brazil
Hypothesis
The study aims to determine the incidence of intra-abdominal hypertension (IAH) or abdominal compartment syndrome (ACS) in ICU patients with two or more risk factors.
Conclusion
Patients with intra-abdominal hypertension and abdominal compartment syndrome have a high mortality rate and long hospital stays.
Supporting Evidence
- 62% of patients monitored had at least one episode of intra-abdominal hypertension.
- 12.5% of patients developed abdominal compartment syndrome.
- The average hospital stay was 60 days, and the average ICU stay was 14 days.
- 28-day mortality was 31%, ICU mortality was 38%, and hospital mortality was 62%.
Takeaway
This study found that many patients in the ICU have serious belly problems that can make them very sick and stay in the hospital a long time.
Methodology
Patients admitted to the ICU were monitored for intra-abdominal pressure if they had at least two risk factors, with data collected daily for up to 7 days.
Participant Demographics
Mean age 66 years, 34% female, with various medical and surgical backgrounds.
Digital Object Identifier (DOI)
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