Incidence and prognostic factors for mortality of abdominal hypertension in critically ill surgical patients in THAI-SICU study
© 2016, Medical Association of Thailand. All rights reserved. Objective: This study aimed to investigate the incidence and prognostic factors of mortality in intra-abdominal hypertension that developed during admission in the surgical intensive care units in Thailand. Material and Method: This was a...
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th-cmuir.6653943832-560622018-09-05T03:08:27Z Incidence and prognostic factors for mortality of abdominal hypertension in critically ill surgical patients in THAI-SICU study Osaree Akaraborworn Kaweesak Chittawatanarat Chanon Kongkamol Sunisa Chatmongkolchart Chanatthee Kitsiripant Medicine © 2016, Medical Association of Thailand. All rights reserved. Objective: This study aimed to investigate the incidence and prognostic factors of mortality in intra-abdominal hypertension that developed during admission in the surgical intensive care units in Thailand. Material and Method: This was a prospective observational study in nine university-based surgical intensive care units in Thailand. (THAI-SICU) The suspected patients who had the intra-abdominal pressure more than 12 mmHg were defined as intra-abdominal hypertension (IAH). The patients were followed until discharge. Results: Among 4,652 cases, a total of 71 cases (1.5%) developed IAH. The average age was 53.05+20.26 years. The median APACHE II score was 13 (9-15). Eighteen patients received surgical decompression as treatment. Metabolic acidosis (pH <7.2) and abdominal aortic surgery were the significant factors for mortality in intra-abdominal hypertension patients. Conclusion: The incidence of intra-abdominal hypertension in the critical surgical care units was low in this cohort. Intraabdominal hypertension in patients who previously received abdominal aortic surgery and who had concomitant acidosis was the independent risk factor of mortality. 2018-09-05T03:08:27Z 2018-09-05T03:08:27Z 2016-09-01 Journal 01252208 2-s2.0-85012159831 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012159831&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/56062 |
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Medicine Osaree Akaraborworn Kaweesak Chittawatanarat Chanon Kongkamol Sunisa Chatmongkolchart Chanatthee Kitsiripant Incidence and prognostic factors for mortality of abdominal hypertension in critically ill surgical patients in THAI-SICU study |
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© 2016, Medical Association of Thailand. All rights reserved. Objective: This study aimed to investigate the incidence and prognostic factors of mortality in intra-abdominal hypertension that developed during admission in the surgical intensive care units in Thailand. Material and Method: This was a prospective observational study in nine university-based surgical intensive care units in Thailand. (THAI-SICU) The suspected patients who had the intra-abdominal pressure more than 12 mmHg were defined as intra-abdominal hypertension (IAH). The patients were followed until discharge. Results: Among 4,652 cases, a total of 71 cases (1.5%) developed IAH. The average age was 53.05+20.26 years. The median APACHE II score was 13 (9-15). Eighteen patients received surgical decompression as treatment. Metabolic acidosis (pH <7.2) and abdominal aortic surgery were the significant factors for mortality in intra-abdominal hypertension patients. Conclusion: The incidence of intra-abdominal hypertension in the critical surgical care units was low in this cohort. Intraabdominal hypertension in patients who previously received abdominal aortic surgery and who had concomitant acidosis was the independent risk factor of mortality. |
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Journal |
author |
Osaree Akaraborworn Kaweesak Chittawatanarat Chanon Kongkamol Sunisa Chatmongkolchart Chanatthee Kitsiripant |
author_facet |
Osaree Akaraborworn Kaweesak Chittawatanarat Chanon Kongkamol Sunisa Chatmongkolchart Chanatthee Kitsiripant |
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Osaree Akaraborworn |
title |
Incidence and prognostic factors for mortality of abdominal hypertension in critically ill surgical patients in THAI-SICU study |
title_short |
Incidence and prognostic factors for mortality of abdominal hypertension in critically ill surgical patients in THAI-SICU study |
title_full |
Incidence and prognostic factors for mortality of abdominal hypertension in critically ill surgical patients in THAI-SICU study |
title_fullStr |
Incidence and prognostic factors for mortality of abdominal hypertension in critically ill surgical patients in THAI-SICU study |
title_full_unstemmed |
Incidence and prognostic factors for mortality of abdominal hypertension in critically ill surgical patients in THAI-SICU study |
title_sort |
incidence and prognostic factors for mortality of abdominal hypertension in critically ill surgical patients in thai-sicu study |
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2018 |
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https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012159831&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/56062 |
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