Investigation of İntraabdominal Pressure İncrease and Related Risk Factors in İntensive Care Patients

Objective: Elevated intraabdominal pressure (IAP) is an important factor that increases morbidity and mortality in intensive care unit patients. In this study, it was aimed to investigate the risk factors related to IAP increase in intensive care unit patients. Materials and Methods: One hundred twenty five patients who stayed more than 24 hours in surgical and reanimation intensive care unit were included into the study. All patiens age, sex, body mass index, APACHE II and SOFA scores were recorded. IAP measurements were performed during the intensive care unit stay, intraabdominal hypertension (IAH) was approved by a sustained or repeated pathological elevation in IAP ≥12 mmHg. Abdominal compartment syndrome (ACS) was accepted as a sustained IAP >20 mmHg that is associated with new organ dysfunction. All patients’ duration of mechanical ventilator, intensive care unit stay and prognosis were determined. Risk factors for IAP such as trauma, sepsis, multiple blood transfusions, ileus, acidosis and pneumonia were all recorded. Result: In the study 45 patients were diagnosed with IAP and 5 patients with ACS. There was no difference in terms of IAH and ACS according to gender and age of the patients. Patients with high body mass index, multiple transfusions, sepsis and pneumonia, were found to have higher IAH (p