Intra-abdominal pressure in critically 111 patients : it is time to pay attention

Abstract EN

Background / Aim : intra-abdominal pressure (IAP) measurements can be used for the early detection and management of the abdominal compartment syndrome (ACS).

Increased intra-abdominal pressure (IAP) can lead to multi-organ dysfunction and eventually death.

In this study we collected and analyzed data of the clinical cases which were prone to develop intra-abdominal hypertension (IAH) and (ACS).

Patients and methods : A prospective study was performed in the ICU over 7 months.

Patients were classified according to their IAP.

The follow up of those who had high IAP was concerned with the incidence of ACS and the mortality rate.

Results : 115 patients were allocated for this study; we found prevalence of IAH in total number of patients (68.7 %).

Male sex and high body mass index (BMI) predominance was noticed in the group of patients who developed IAH (62.2 % with P = 0.02) ; and (31 ± 6.2 with P = 0.03) respectively.

The incidence of ACS was 55 % in the group of patients with IAH and overall mortality rate among them was 59 %.

Conclusion : IAH and ACS are significant causes for multi organ failure and increased mortality among wide variety of patients.

So, we should emphasize "IAH and ACS" it is time to pay attention.