Clinical Effects of Intra-Abdominal Pressure in Critically Ill Trauma Patients
Purpose There is increasing interest in intra-abdominal pressure (IAP) and intra-abdominal hypertension (IAH) in critically ill patients. This study investigated the effects and outcomes of elevated IAP in a trauma intensive care unit (ICU) population. Methods Eleven consecutive critically ill patie...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2019-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-32-086.pdf |
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| author | Dong Yeon Ryu Hohyun Kim June Pill Seok Chan Kyu Lee Kwang-Hee Yeo Seon-Uoo Choi Jae-Hun Kim Hyun Min Cho |
| author_facet | Dong Yeon Ryu Hohyun Kim June Pill Seok Chan Kyu Lee Kwang-Hee Yeo Seon-Uoo Choi Jae-Hun Kim Hyun Min Cho |
| author_sort | Dong Yeon Ryu |
| collection | DOAJ |
| description | Purpose There is increasing interest in intra-abdominal pressure (IAP) and intra-abdominal hypertension (IAH) in critically ill patients. This study investigated the effects and outcomes of elevated IAP in a trauma intensive care unit (ICU) population. Methods Eleven consecutive critically ill patients admitted to the trauma ICU at Pusan National University Hospital Regional Trauma Center were included in this study. IAP was measured every 8–12 hours (intermittently) for 72 hours. IAP was registered as mean and maximal values per day throughout the study period. IAH was defined as IAP ≥12 mmHg. Abdominal compartment syndrome was defined as IAP ≥20 mmHg plus ≥1 new organ failure. The main outcome measure was in-hospital mortality. Results According to maximal and mean IAP values, 10 (90.9%) of the patients developed IAH during the study period. The Sequential Organ Failure Assessment (SOFA) score was significantly higher in patients with IAP ≥20 mmHg than in those with IAP <20 mmHg (16 vs. 5, p=0.049). The hospital mortality rate was 27.3%. Patients with a maximum IAP ≥20 mmHg exhibited significantly higher hospital mortality rates (p=0.006). Non-survivors had higher maximum and mean IAP values. Conclusions Our results suggest that an elevated IAP may be associated with a poor prognosis in critically ill trauma patients. |
| format | Article |
| id | doaj-art-ad1142f0c95340adadb88913f873d6c0 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2019-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-ad1142f0c95340adadb88913f873d6c02025-01-06T01:15:48ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832019-06-01322869210.20408/jti.2018.052984Clinical Effects of Intra-Abdominal Pressure in Critically Ill Trauma PatientsDong Yeon Ryu0Hohyun Kim1June Pill Seok2Chan Kyu Lee3Kwang-Hee Yeo4Seon-Uoo Choi5Jae-Hun Kim6Hyun Min Cho7 Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery, Wonkwang University Hospital, Iksan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Cardiovascular & Thoracic Surgery, Peruen Hospital, Changwon, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, KoreaPurpose There is increasing interest in intra-abdominal pressure (IAP) and intra-abdominal hypertension (IAH) in critically ill patients. This study investigated the effects and outcomes of elevated IAP in a trauma intensive care unit (ICU) population. Methods Eleven consecutive critically ill patients admitted to the trauma ICU at Pusan National University Hospital Regional Trauma Center were included in this study. IAP was measured every 8–12 hours (intermittently) for 72 hours. IAP was registered as mean and maximal values per day throughout the study period. IAH was defined as IAP ≥12 mmHg. Abdominal compartment syndrome was defined as IAP ≥20 mmHg plus ≥1 new organ failure. The main outcome measure was in-hospital mortality. Results According to maximal and mean IAP values, 10 (90.9%) of the patients developed IAH during the study period. The Sequential Organ Failure Assessment (SOFA) score was significantly higher in patients with IAP ≥20 mmHg than in those with IAP <20 mmHg (16 vs. 5, p=0.049). The hospital mortality rate was 27.3%. Patients with a maximum IAP ≥20 mmHg exhibited significantly higher hospital mortality rates (p=0.006). Non-survivors had higher maximum and mean IAP values. Conclusions Our results suggest that an elevated IAP may be associated with a poor prognosis in critically ill trauma patients.http://www.jtraumainj.org/upload/pdf/jti-32-086.pdfintra-abdominal hypertensioncritical carewounds and injuriespressure |
| spellingShingle | Dong Yeon Ryu Hohyun Kim June Pill Seok Chan Kyu Lee Kwang-Hee Yeo Seon-Uoo Choi Jae-Hun Kim Hyun Min Cho Clinical Effects of Intra-Abdominal Pressure in Critically Ill Trauma Patients Journal of Trauma and Injury intra-abdominal hypertension critical care wounds and injuries pressure |
| title | Clinical Effects of Intra-Abdominal Pressure in Critically Ill Trauma Patients |
| title_full | Clinical Effects of Intra-Abdominal Pressure in Critically Ill Trauma Patients |
| title_fullStr | Clinical Effects of Intra-Abdominal Pressure in Critically Ill Trauma Patients |
| title_full_unstemmed | Clinical Effects of Intra-Abdominal Pressure in Critically Ill Trauma Patients |
| title_short | Clinical Effects of Intra-Abdominal Pressure in Critically Ill Trauma Patients |
| title_sort | clinical effects of intra abdominal pressure in critically ill trauma patients |
| topic | intra-abdominal hypertension critical care wounds and injuries pressure |
| url | http://www.jtraumainj.org/upload/pdf/jti-32-086.pdf |
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