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Critical Care

Open Access

Abdominal hypertension and compartmental syndrome in intensive care medicine

  • HP Guimarães1,
  • A Raimondi1,
  • PHR Leal1,
  • RD Lopes1,
  • AP Resque1,
  • GK Barcelos1,
  • MB Peruzzo1,
  • FR Machado1 and
  • JLG Amaral1
Critical Care20059(Suppl 2):P114

https://doi.org/10.1186/cc3658

Published: 9 June 2005

Keywords

Public HealthHypertensionCatheterEmergency MedicineTotal Sample

Introduction and objectives

The objective of this trial was to compare abdominal hypertension and abdominal compartmental syndrome (ACS) in patients under risk for these pathologies in the ICU.

Methods

Eighty-nine patients with monitoring indications for intra-abdominal pressure (IAP) based on clinical or surgical admission diagnosis in the ICU were included. Measurements via an indirect method through the vesical catheter were made at three distinct timepoints: at admission, and at 6 hours and 12 hours.

Results

The incidence of ACS was 14.6% (13 patients); in the total sample, the male sex prevailed at 63% (56 patients). The patients had been distributed into two groups: with ACS and without ACS. Gastric surgery diagnosis predominated in both groups (84.6%/57.9%; P < 0.067). Global mortality was 30.3% (27 patients): 53.8% (seven patients) in the group with ACS and 26.3% (20 patients) in the group without ACS; P < 0.046. Table 1 describes the sample.

Table 1

Compartmental syndrome

Present (n = 13), average/standard

Absent (n = 76), average/standard

P value

Weight

78.3/10.4

79.4/25

0.876

Height

1.66/0.04

1.67/0.09

0.696

APACHE

16.1/7.6

16.5/8.1

0.869

IAP admission

28.2/6

15.6/6.3

<0.0001

IAP 6 hours

27.8/9.2

15.8/6.3

<0.0001

IAP 12 hours

29.6/9.4

15.9/6.2

<0.0001

IAP Average

28.5/6.6

15.7/5.8

<0.0001

Conclusion

Abdominal hypertension and ACS are frequent diagnostics in intensive care medicine; superior average values of the IAP at admission, at 6 hours and at 12 hours to 28 mmHg are correlated with the biggest incidence of ACS and greater mortality.

Authors’ Affiliations

(1)
Federal University of São Paulo, UNIFESP, EPM, São Paulo, Brazil

Copyright

© BioMed Central Ltd 2005

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