Studying the prognostic accuracy of the IAP for in-hospital mortality among critical patients
Main Article Content
Keywords
IAP
Abstract
Summary
Objective: To study the prognostic accuracy of the IAP for in-hospital mortality among critical patients. Subject and method: 42 patients who had no previous abdominal surgery were measured for abdominal pressure 24 hours after ICU admission. Simultaneously, SOFA score is calculated as a comparison parameter. The primary outcome is in-hospital mortality. Result: IAP has a good quality for predicting mortality with AUC: 0.688 (p<0.01), cut-off point: 23.5 (cmH2O), sensitivity: 65.2%, specificity: 73.7%. Conclusion: The IAP has a good quality for predicting mortality among critical patient group.
Keywords: IAP.
Article Details
References
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2. Đào Xuân Cơ, Nguyễn Gia Bình, Trần Duy Anh (2012) Nghiên cứu giá trị của áp lực ổ bụng trong chẩn đoán mức độ nặng và theo dõi diễn biến của viêm tụy cấp. Tạp chí Y học Việt Nam, số 1(396), tr. 88-94.
3. Freitas GR, Fonseca-Neto OC, Pinheiro CL et al (2014) Relationship between sequential organ failure assessment (SOFA) and intra-abdominal pressure in intensive care unit. Arq Bras Cir Dig 27(4): 256-60.
4. Moreno R, Vincent JL, Matos R et al (1999) The use of maximum SOFA score to quantify organ dysfunction/failure in intensive care. Results of a prospective, multicentre study. Working Group on Sepsis related Problems of the ESICM. Intensive Care Med 25(7): 686-696.
5. Pereira B, Dorigatti A, Melek M et al (2019) Septic shock patients admitted to the intensive care unit with higher SOFA score tend to have higher incidence of abdominal compartment syndrome - a preliminary analysis. Anaesthesiol Intensive Ther 51(5): 370-372.
6. Reintam Blaser A, Regli A, De Keulenaer B et al (2019) Incidence, risk factors, and outcomes of Intra-abdominal hypertension in critically Ill patients-A prospective multicenter study (IROI Study). Crit Care Med 47(4): 535-542.
7. Svorcan P, Stojanovic M, Stevanovic P et al (2017) The influence of intraabdominal pressure on the mortality rate of patients with acute pancreatitis. Turk J Med Sci 47(3): 748-753.
8. Vincent JL, Moreno R, Takala J et al (1996) The SOFA (Sepsis-related organ failure assessment) score to describe organ dysfunction/failure. On behalf of the working group on sepsis-related problems of the European Society of Intensive Care Medicine. Intensive Care Med 22(7): 707-710.
9. Stojanovic M (2019) Mortality predictors of patients suffering of acute pancreatitis and development of intraabdominal hypertension. Turk J Med Sci 49(2): 506-513.