Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: A multiple-center epidemiological study*

Abstract

Intraabdominal hypertension on admission was associated with severe organ dysfunction during the intensive care unit stay. The mean intraabdominal pressure on admission was not an independent risk factor for mortality; however, the occurrence of intraabdominal hypertension during the intensive care unit stay was an independent outcome predictor.

The influence of fluid balance on intra-abdominal pressure after major abdominal surgery

“…Many risk factors for the development of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have been identified in critically ill patients (6). However, several authors have found 24-hour fluid balance and massive fluid resuscitation as well as abdominal surgery to be the independent predictors for the development of IAH (2,3,7,8).…”

“…There is growing evidence that intra-abdominal pressure (IAP) adversely affects almost all organ systems (1) and is a cause of significant morbidity and mortality (2)(3)(4)(5). Many risk factors for the development of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have been identified in critically ill patients (6).…”

Management of Peritonitis in the Critically Ill Patient

“…Furthermore, the aggressive resuscitation required in these patients causes gut and abdominal wall edema that may be associated with increased intra-abdominal pressure, worsened by a premature closing of the abdominal wall. To date, it is clear that the reduction of mortality below 20% has been the result of a better understanding of the role of damage control, prevention of intra-abdominal compartment syndrome, and improved antibiotic alternatives with broad-spectrum newer medications [5][6][7][8][9][10][11][12][13][14][15].…”

Abdominal Compartment Syndrome in Children

“…4 Incidence, Risk Factors, and Indications for IAP Monitoring IAH and ACS occur in a wide variety of patients, including infants, children, and adults who require medical or surgical treatment or treatment for burns, and is associated with a variety of diagnoses. 7,[9][10][11][12] The reported incidence of ACS varies from less than 1% to 60%, depending on the definitions used and the different populations of patients studied. 7,8,[12][13][14] Many health care providers think ACS may be underrecognized and thus underreported.…”