Decompressive laparotomy for abdominal compartment syndrome – a critical analysis

Table 3 Patient characteristics and outcome after decompressive laparotomy

Reference	Year	No. of patients included	Age (years)	ISS	APACHE II score	IAP before DL (mmHg)	IAP after DL (mmHg)	Mortality (%)
Primary ACS
[23]	1984	4	55	-	-	37	14	50
[25]	1989	4	-	-	-	37	-	75
[26]	1990	10	69	-	-	25	16	60
[17]	1997	21	39	26	-	27	14	29
[28]	1998	11	37	27	-	49	19	64
[18]	1998	49	36	37	-	33	-	42
[31]	2001	28	36	32	-	26	-	43
Secondary ACS
[29]	1999	6	57	-	27	24	14	67
[30]	2000	6	45	-	-	31	-	67
[32]	2001	10	45	-	-	30	11	50
[16]	2002	4	-	-	25	40	26^a	75
[10]	2002	4	17	-	-	34	-	100
[34]	2003	9	47	24	-	36^a	8^a	22
Mixed primary and secondary ACS
[27]	1995	4	-	-	-	39,5^a	-	24
[2]	2000	17	42	37	21	42^a	16^a	65
[33]	2002	18	69	-	20	43	-	61
[35]	2003	26	-	28	-	36	17	28
[15]	2004	17	29	-	29,5	29,5	-	35
Mean (SD)			44 (14.4)	30 (5.3)	25 (4.0)	35.5 (8.06)	15.5 (4.81)

^aData coming from incomplete datasets. dash, not available; ACS, abdominal compartment syndrome; APACHE II, Acute Physiology and Chronic Health Evaluation; DL, decompressive laparotomy; IAP, intraabdominal pressure; ISS, Injury Severity score; SD, standard deviation.

ISSN: 1364-8535