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Investigation of İntraabdominal Pressure İncrease and Related Risk Factors in İntensive Care Patients
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Original Research
VOLUME: 16 ISSUE: 1
P: 30-36
April 2018

Investigation of İntraabdominal Pressure İncrease and Related Risk Factors in İntensive Care Patients

J Turk Soc Intens Care 2018;16(1):30-36
DOI: 10.4274/tybd.53244
Hüseyin Uğur 1
Mehmet Turan İnal 2
Dilek Memiş 2
Nesrin Turan 3
1. Kırklareli Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Kırklareli, Türkiye
2. Trakya Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yoğun Bakım Bilim Dalı, Edirne, Türkiye
3. Trakya Üniversitesi Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Edirne, Türkiye
No information available.
No information available
Received Date: 25.08.2017
Accepted Date: 10.12.2017
Publish Date: 04.04.2018
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ABSTRACT

Objective:

Elevated intraabdominal pressure (IAP) is an important factor that increases morbidity and mortality in intensive care unit patients. In this study, it was aimed to investigate the risk factors related to IAP increase in intensive care unit patients.

Materials and Methods:

One hundred twenty five patients who stayed more than 24 hours in surgical and reanimation intensive care unit were included into the study. All patiens age, sex, body mass index, APACHE II and SOFA scores were recorded. IAP measurements were performed during the intensive care unit stay, intraabdominal hypertension (IAH) was approved by a sustained or repeated pathological elevation in IAP ≥12 mmHg. Abdominal compartment syndrome (ACS) was accepted as a sustained IAP >20 mmHg that is associated with new organ dysfunction. All patients’ duration of mechanical ventilator, intensive care unit stay and prognosis were determined. Risk factors for IAP such as trauma, sepsis, multiple blood transfusions, ileus, acidosis and pneumonia were all recorded.

Result:

In the study 45 patients were diagnosed with IAP and 5 patients with ACS. There was no difference in terms of IAH and ACS according to gender and age of the patients. Patients with high body mass index, multiple transfusions, sepsis and pneumonia, were found to have higher IAH (p<0.05) and no difference was found in terms of ACS. There was no significant difference in terms of IAH and ACS in patients with trauma. IAH and ACS were found significantly higher in patients with ileus (p<0.05). Significant difference was determined in terms of ACS for acidosis in patients who participate to the study (p<0.05). Patients who had IAH had higher APACHE II and SOFA scores, longer intensive care and mechanical ventilation (p<0.05).

Conclusion:

High body mass index, sepsis, multiple transfusion, ileus, acidosis and pneumonia are important risk factors for development of IAH and ACS, we recommend that patients should be monitored more carefully in the presence of these risk factors.

Keywords: Intensive care, intraabdominal pressure, Abdominal Compartment syndrome

References

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