Incidence and prognosis of intraabdominal hypertension and abdominal compartment syndrome in children

Journal of Pediatric Surgery
E DivarciA Celik

Abstract

Intraabdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are associated with high mortality rates in children (40-60%). However, literature lacks comprehensive series in childhood. In this study, we aimed to determine the incidences of IAH and ACS, to identify high risk disorders for the development of IAH/ACS and to decrease ACS-associated mortality by early diagnosis and timely intervention. A prospective study was performed between December 2009 and October 2010 in our institution. IAH was defined by a sustained or repeated pathological elevation in IAP≥12mmHg without a new organ failure. ACS was identified as a sustained IAP>15mmHg with a new organ dysfunction/failure. After recognition of IAH or ACS, patients underwent prompt decompressive interventions as medical or surgical procedures. 150 patients were enrolled to the study (86 M, 64 F). The incidences of IAH and ACS were 9% and 4%, respectively. High risk disorders were trauma, ileus, necrotizing enterocolitis, abdominal wall defects, diaphragmatic hernia and septic shock with massive fluid resuscitation. 14 patients with IAH were treated and mean IAP was decreased from 13.9±1.9mmHg to 9.2±2.1mmHg (p<0.001). None of them progressed to ACS. Six patient...Continue Reading

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Citations

Mar 11, 2016·Journal of Pediatric Neurosciences·Rajendra Singh ChouhanSumit Sinha
Feb 9, 2018·Expert Review of Gastroenterology & Hepatology·Candace Haddock, Erik D Skarsgard
Jan 16, 2019·AJR. American Journal of Roentgenology·Bo-Kyung JePaul S Horn
Jan 27, 2018·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Jenifer Reitsma, Bette Schumacher
Sep 1, 2019·Pediatric Transplantation·Philipp DeindlJochen Herrmann
Dec 20, 2019·Insights Into Imaging·Trevor GauntSusan C Shelmerdine
Mar 1, 2020·Pediatric Surgery International·Anthony di NataleSasha Job Tharakan
Jul 27, 2018·Critical Care : the Official Journal of the Critical Care Forum·Lana Van Damme, Jan J De Waele
Dec 24, 2018·The Journal of Critical Care Medicine·Gabriel Alexandru PopescuPaul Rad

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