Incidence of Intra-Abdominal Hypertension and Abdominal Compartment Syndrome: A Systematic Review. J Intensive Care Med 2021 Feb;36(2):197-202
Date
12/07/2019Pubmed ID
31808368DOI
10.1177/0885066619892225Scopus ID
2-s2.0-85077172277 (requires institutional sign-in at Scopus site) 15 CitationsAbstract
OBJECTIVE: To determine the contemporary prevalence of intra-abdominal hypertension (IAH) and abdominal compartment syndrome in critically ill patients.
DATA SOURCES: Medline, Embase, and Central databases.
STUDY SELECTION: Studies reporting on the prevalence of IAH in consecutively admitted critically ill patients using the World Society of Abdominal Compartment Syndrome (WSACS) consensus guidelines for intra-abdominal pressure (IAP) measurement.
DATA EXTRACTION: Duplicate independent review and data abstraction.
DATA SYNTHESIS: The search identified 2428 titles with 6 eligible studies (n = 1965). Reported prevalence ranged from 30% to 49%. Despite abiding by the WSACS guidelines for IAP measurement, studies varied in their definition of IAH, frequency and duration of IAP measurement, and reporting of outcomes. Three of 6 studies reported that IAH, especially at higher grades, was an independent predictor of mortality.
CONCLUSIONS: Intra-abdominal hypertension is a common finding in critically ill patients and may be associated with increased mortality, especially at higher grades. Further prospective research is required to examine the effect of screening and treatment of IAH on patient outcomes.
Author List
Khot Z, Murphy PB, Sela N, Parry NG, Vogt K, Ball IMAuthor
Patrick Murphy MD Assistant Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Critical IllnessHumans
Incidence
Intra-Abdominal Hypertension
