Incidence and Prognostic Factors for Mortality of Abdominal Hypertension in Critically Ill Surgical Patients in THAI-SICU Study
Akaraborworn, O.; Chittawatanarat, K.; Kongkamol, C.; Chatmongkolchart, S.; Kitsiripant, C.
Journal of the Medical Association of Thailand 99(Suppl 6): S178-S183
2016
ISSN/ISBN: 0125-2208 PMID: 29906376 Document Number: 17363
This study aimed to investigate the incidence and prognostic factors of mortality in intra-abdominal hypertension that developed during admission in the surgical intensive care units in Thailand. This was a prospective observational study in nine university-based surgical intensive care units in Among 4,652 cases, a total of 71 cases (1.5%) developed IAH. The average age was 53.05+20.26 years. The median APACHE II score was 13 (9-15). Eighteen patients received surgical decompression as treatment. Metabolic acidosis (pH <7.2) and abdominal aortic surgery were the significant factors for mortality in intra-abdominal hypertension patients. The incidence of intra-abdominal hypertension in the critical surgical care units was low in this cohort. Intraabdominal hypertension in patients who previously received abdominal aortic surgery and who had concomitant acidosis was the independent risk factor of mortality.