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Incidence, Outcomes, and Factors Associated with Intra-Abdominal Hypertension and Primary Abdominal Compartment Syndrome in Abdominopelvic Injury Patients
Joint Authors
Kanlerd, Amonpon
Nakornchai, Krissada
Auksornchart, Karikarn
Watkwaw, Warapan
Source
Anesthesiology Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-08-17
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
The primary aim was to identify the incidence of intra-abdominal hypertension (IAH) and primary abdominal compartment syndrome (1oACS) of abdominopelvic injury patients at Thammasat University Hospital (TUH), Thailand, and the secondary objective was to evaluate those factors that contributed to developing these conditions.
Methods.
The retrospective cohort of 38 abdominopelvic injury cases was admitted to the intensive care unit at Thammasat University Hospital, from January 1st to December 31st, 2018.
The bladder pressure was recorded every 4 hours until the urethral catheter was removed.
Data of age, gender, weight, height, body mass index, injury mechanisms, initial vital signs, imaging, laboratory data, blood component requirements, abdominal organs involved, treatments including surgery and intervention radiology, abbreviated injury scale (AIS) and injury severity score (ISS), length of ICU stays, and results of treatment were all analyzed.
Results.
The patients were mostly young (mean age 31.5 years), male (68.4%), and suffering from blunt trauma (89.5%).
The mean maximum bladder pressure was 8.3 ± 5.2 mmHg.
Six patients (15.8%) developed IAH, and one patient (2.6%) was diagnosed with 1oACS.
Two patients expired.
The multivariate analysis showed the patient who had initial Cr ≥ 1.5 g/dL, lower extremity including pelvis AIS ≥3, and ISS >15 was significantly associated with the developing of IAH.
Conclusions.
The incidence of IAH and 1oACS was 15.8% and 2.6%.
Predicted factors to find developing IAH were initial Cr ≥ 1.5 g/dL, lower extremity AIS ≥3, and ISS >15.
We should consider awareness of IAH and 1oACS in abdominopelvic injury patients.
American Psychological Association (APA)
Kanlerd, Amonpon& Nakornchai, Krissada& Auksornchart, Karikarn& Watkwaw, Warapan. 2020. Incidence, Outcomes, and Factors Associated with Intra-Abdominal Hypertension and Primary Abdominal Compartment Syndrome in Abdominopelvic Injury Patients. Anesthesiology Research and Practice،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1130521
Modern Language Association (MLA)
Kanlerd, Amonpon…[et al.]. Incidence, Outcomes, and Factors Associated with Intra-Abdominal Hypertension and Primary Abdominal Compartment Syndrome in Abdominopelvic Injury Patients. Anesthesiology Research and Practice No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1130521
American Medical Association (AMA)
Kanlerd, Amonpon& Nakornchai, Krissada& Auksornchart, Karikarn& Watkwaw, Warapan. Incidence, Outcomes, and Factors Associated with Intra-Abdominal Hypertension and Primary Abdominal Compartment Syndrome in Abdominopelvic Injury Patients. Anesthesiology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1130521
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1130521