Abdominal Compartment Syndrome, Intra-Abdominal Hypertension
Conditions
Brief summary
The aim of the proposed study is to determine the incidence and prevalence of intra-abdominal hypertension and abdominal compartment syndrome in consecutive intensive care admissions using broad inclusion criteria.
Detailed description
Increased pressure within the abdominal cavity is particularly common in intensive care patients and has been shown to be an independent risk-factor for mortality in this patient population. The quoted rates of intra-abdominal hypertension of range anywhere from 20-60% are dependent on the population of patient studied. The prospective observational studies performed to date have been underpowered, used strict inclusion/exclusion criteria or were performed prior to consensus guidelines on the definition and measurement of intra-abdominal pressure and hypertension.
Interventions
OTHERNo intervention
Sponsors
Western University, Canada
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Foley catheter in-situ on admission
Exclusion criteria
* Contra-indication to bladder pressure measurement * Home service asked that patient is not included * Death within 24 priors of admission before bladder pressure measured * No bladder pressure performed within 24 hours of admission * Consent refused or unable to be obtained (lack of SDM, patient unable to provide)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | While patient in-hospital, expected stay one week on average | As measured prospectively by patient death in the ICU |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay | While patient in-hospital, expected stay one week on average | Measured prospectively from date of admission to ICU to death, or discharge from ICU |
| Abdominal decompression | While patient in-hospital, expected stay one week on average | Midline laparotomy for abdominal compartment syndrome |
Countries
Canada
Outcome results
None listed