Intra abdominal hypertension; incidence, prevalence and outcomes in a mixed intensive care unit: Prospective cohort study

Murtaza, Ghulam; Pal, Khawaja Muhammad Inam; Jajja, Mohammad Raheel; Nawaz, Zunaira; Koondhar, Reham; Nasim, Sana

doi:10.1016/j.ijsu.2015.05.014

Cited by 24 publications

(21 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Given the interdependence of the thoracic and abdominal cavities, it is unsurprising that weaning from mechanical ventilation can be particularly difficult in the presence of IAH [37]. We suggest, therefore, in agreement with various other publications and international recommendations, that IAP is closely monitored in mechanically ventilated patients with ARDS.…”

Section: Intra-abdominal Hypertension (Iah)supporting

confidence: 89%

Mechanical ventilation weaning issues can be counted on the fingers of just one hand: part 2

et al. 2020

View full text Add to dashboard Cite

Assessing heart and diaphragm function constitutes only one of the steps to consider along the weaning path. In this second part of the review, we will deal with the more systematic evaluation of the pulmonary parenchyma-often implicated in the genesis of respiratory failure. We will also consider the other possible causes of weaning failure that lie beyond the cardio-pulmonary-diaphragmatic system. Finally, we will take a moment to consider the remaining unsolved problems arising from mechanical ventilation and describe the so-called protective approach to parenchyma and diaphragm ventilation.

show abstract

Section: Intra-abdominal Hypertension (Iah)supporting

confidence: 89%

Mechanical ventilation weaning issues can be counted on the fingers of just one hand: part 2

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The prevalence of IAH in our study was 25 % paediatrics and 17.4 % adults. In the adults group, this was slightly lower than Murtaza et al who showed a prevalence of 28 % [ 18 ], however this can be explained by the fact that Murtaza et al looked at ICU patients who are generally sicker than the general patients we looked at. Again in the paediatrics group, the prevalence was lower compared to Ozden et al with 49.3 %, this is still explained by the different study populations, and this study was carried out in the emergency ward setting compared to NICU or PICU.…”

Section: Discussioncontrasting

confidence: 68%

Intra-abdominal hypertension; prevalence, incidence and outcomes in a low resource setting; a prospective observational study

et al. 2015

View full text Add to dashboard Cite

BackgroundIntra-abdominal hypertension (IAH) is defined as a sustained elevation in intra-abdominal pressure (IAP) greater than or equal to 12 mmHg. IAH has been shown to cause organ derangements and dysfunction in the body. Objective screening of IAH is neither done early enough nor at all thus leading to significant morbidity and mortality among surgical patients. The epidemiology and outcome of IAH among surgical patients has not been documented in Uganda. The aim of this study was to determine the prevalence, incidence and outcome of intra-abdominal hypertension among patients undergoing emergency laparotomy.MethodologyProspective observational study, conducted from January to April 2015 among patients undergoing emergency laparotomy. Inclusion criteria was; age >7 yrs, scheduled for emergency laparotomy, able to lie supine. Exclusion Criteria: pregnant, failed urethral catheterization, known cardiac, renal and respiratory disorders. Consecutive sampling was used. IAP, blood pressure, heart rate, respiratory rate, Sp02, Serum creatinine, Serum urea, and Urine output were measured preoperatively and postoperatively at 0, 6, 24 and 48 h. IAH was defined as IAP > 12 mmHg on three consecutive readings 3 min apart.ResultsIn total 192 patients were enrolled. Mean age ± SD was 14.25 (±3.16) yrs in the paediatrics and 34.4(±13.72) yrs in the adults with male preponderance 65 and 80.7 % respectively. The prevalence of IAH was 25 % paediatrics and 17.4 % adults and the cumulative incidence after surgery was 20 % paediatrics and 21 % adults. In paediatrics, IAH was associated with mortality at 0 h postoperatively, RRR = 1:24, 95 % CI (1.371–560.178), p-value 0.048. In adults, the statistically significant outcomes associated with IAH were respiratory system dysfunction RRR1:2.783, p-value 0.023, 95 % CI (1.148–6.744) preoperatively and mortality RRR 1:2.933, p-value 0.034, 95 % CI (1.017–8.464) at 6 h, RRR 1:3.769, p-value 0.033, 95 % CI (1.113–12.760) at 24 h postoperatively.ConclusionThe prevalence and incidence of IAH in the paediatrics and adults group in our study population were high. IAH was associated with mortality in both adult and paediatrics groups and respiratory system dysfunction in adult group. This calls for objective monitoring of intraabdominal pressure in patients undergoing emergency laparotomy with the aim of reducing associated mortality.

show abstract

“…11 Cullen et al 12 conducted studies on the effect of IAH on pulmonary compliance and found that those lung conditions which affect the abdominal wall compliance is associated with an increased incidence of IAH. Various studies conducted by Malbrain et al 13 in tertiary care centres identified UGI Bleed, presence of ascites and metabolic encephalopathy as the risk factor for IAH. We found UGI as the increased risk factor for the IAH.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Correlation of Intra-abdominal Hypertension with Incidence of Acute Kidney Injury in ICU Patients: A Cohort Study from A Tertiary Care Centre

Dr.S.Lakshmi¹,

Raghunath²,

Antony³

2020

IJCMR

View full text Add to dashboard Cite

Introduction: Intra-abdominal hypertension (IAH), a sustained and repeated steady state rise in intra-abdominal pressure (IAP) above 12 mmHg, was reported as a hidden cause contributing to morbidity and mortality in critically ill patients. This study was aimed to find out the possible relationship between IAH and acute kidney injury (AKI) in ICU patients. Material and methods: Prospective cohort study was conducted among patients admitted in medical and surgical ICU. Consecutive patients coming under the inclusion criteria were selected and IAH was measured using pressure transducer technique. IAP was measured at the time of admission, at 24 hours, 48hours and also at the end of 72hours. Other parameters were collected based on a standard proforma prepared. Results: Eighty patients were included in our study, of which 24 patients had IAH. Mean age in patients with IAH was obtained as 63.08 ± 12.37 years with a male predominance. Maximum patients were belonging to age group of 61-70 yrs (25%), 9 patients were below 40 yrs and 14 patients were above 81yrs. Mean IAP was calculated to be 11.65 ± 3.15. Only 9 patients were in grade IV (11.3%). Risk factors associated were found to be ascites, upper GI bleed and metabolic encephalopathy. IAH and AKI were found to be significantly correlated (odds ratio=2.666 with CI 0.98-7.25). Conclusion: Rising intra-abdominal pressure is found to have higher incidence of renal failure than those with established IAH. IAH has been found to be a clinically significant risk factor for development of AKI in ICU patients.

show abstract

Intra abdominal hypertension; incidence, prevalence and outcomes in a mixed intensive care unit: Prospective cohort study

Cited by 24 publications

References 16 publications

Mechanical ventilation weaning issues can be counted on the fingers of just one hand: part 2

Mechanical ventilation weaning issues can be counted on the fingers of just one hand: part 2

Intra-abdominal hypertension; prevalence, incidence and outcomes in a low resource setting; a prospective observational study

Prevalence and Correlation of Intra-abdominal Hypertension with Incidence of Acute Kidney Injury in ICU Patients: A Cohort Study from A Tertiary Care Centre

Contact Info

Product

Resources

About