Prevalence and outcomes of routine surveillance intra-abdominal pressures in patients undergo emergency laparotomy : A prospective observational study
- Conditions
- Intra-abdominal hypertension (IAH)Abdominal compartment syndrome (ACS)Intraabdominal pressure, emergency surgery, emergency general surgery, abdominal hypertension, abdominal compartment syndrome, Acute Care surgery
- Registration Number
- TCTR20240715006
- Lead Sponsor
- /A
- Brief Summary
ormal IAP is approximately 5-7 mmHg in critically ill adults, but intra-abdominal hypertension (IAH) with IAP greater than 12 mmHg can lead to organ dysfunction and abdominal compartment syndrome (ACS), which increases morbidity and mortality, particularly in emergency or urgency laparotomies. The incidence of ACS is higher in patients with sepsis and septic shock, and IAP measurement is not routinely performed, leading to underdiagnosis and late management of IAH and ACS.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 35
1. Patients who were admitted to the Acute Care Surgery service (ACSx) of two tertiary-level hospitals.
2. Patients who required emergency or urgent general surgery.
1.Patients who were dead on arrival
2.Pregnant patients
3.Patients with bladder injury or previous bladder surgery
4.Patients who refused IAP measurement
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Trend of intra-abdominal pressure (IAP) over time in emergency or urgent laparotomy cases 72 hours IAP was measured intraoperatively before incision and postoperatively at 6, 18, 24, 36, 48, and 72 hours. If IAP was normal (less than 12 mmHg) at 24 hours, measurements were stopped.
- Secondary Outcome Measures
Name Time Method Correlation between IAP and factors 72 hours Evaluated the correlation between IAP and IV fluid intake over time.