Role of Intraabdominal pressure Monitoring in prediction of Acute Kidney Injury in Burns Patients-An observational Prospective Cohort Study

This is a prospective observational cohort study conducted in the Burns Intensive Care Unit of AIIMS New Delhi. The study aims to evaluate the role of intra abdominal pressure monitoring in the early prediction of acute kidney injury in adult burn patients. Acute kidney injury is a frequent and serious complication in major burns, and early detection is essential for improving outcomes. Intra abdominal pressure will be measured by the intravesical (bladder) method every 12 hours for five days or until ICU discharge. Renal function will be assessed daily using serum creatinine and urine output as per KDIGO 2012 criteria. The study will include adult patients aged 18 to 60 years with 20 to 60 percent total body surface area burns admitted within 48 hours of injury. Patients with pre existing chronic kidney disease, bladder pathology, recent abdominal surgery, pregnancy, or who decline consent will be excluded. Data will be analyzed to determine whether raised intra abdominal pressure predicts acute kidney injury, to identify threshold pressure values, and to evaluate associations with abdominal perfusion pressure, renal replacement therapy requirement, and clinical outcomes such as ICU length of stay, mechanical ventilation, and mortality. Findings may support integration of intra abdominal pressure monitoring into standard burn resuscitation protocols for early detection and prevention of renal complications.