Investigation of Intraabdominal Pressure Increase and Related Risk Factors in Intensive Care Patients

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dc.contributor.authorUgur, Huseyin
dc.contributor.authorInal, Mehmet Turan
dc.contributor.authorMemis, Dilek
dc.contributor.authorTuran, Nesrin
dc.date.accessioned2024-06-12T11:03:54Z
dc.date.available2024-06-12T11:03:54Z
dc.date.issued2018
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: 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.en_US
dc.identifier.doi10.4274/tybd.53244
dc.identifier.endpage36en_US
dc.identifier.issn2602-2974
dc.identifier.issue1en_US
dc.identifier.startpage30en_US
dc.identifier.trdizinid294669en_US
dc.identifier.urihttps://doi.org/10.4274/tybd.53244
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/294669
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21828
dc.identifier.volume16en_US
dc.identifier.wosWOS:000436166600005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofTurkish Journal Of Intensive Care-Turk Yogun Bakim Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIntensive Careen_US
dc.subjectIntraabdominal Pressureen_US
dc.subjectAbdominal Compartment Syndromeen_US
dc.subjectAbdominal Compartment Syndromeen_US
dc.subjectHypertensionen_US
dc.subjectDefinitionsen_US
dc.titleInvestigation of Intraabdominal Pressure Increase and Related Risk Factors in Intensive Care Patientsen_US
dc.typeArticleen_US

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