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2003, Number 3

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Cir Cir 2003; 71 (3)

Intraabdominal pressure as a Mortality Predictor in Abdominal Surgery

Medrano-Montero E, Culay-Pérez A, Batista-Ojeda IM, Fernández-Chelala BE, Avilés-Cruz P, Paz-Torres E

Language: Spanish
References: 20
Page: 186-191
PDF size: 61.37 Kb.


ABSTRACT

A case control study concerning intraabdominal pressure (IAP) in relation with mortality was developed in postoperative patients admitted in the intensive care unit of the Holguin General University Hospital V. I. Lenin in Cuba from March 1998 to March 2002. A total of 207 patients were included. The most frequently affected age groups were 16-35 years of age and 36-55 years of age. Sex distribution was similar. Mean IAP of diseased patients was 13.138333, S = 5.8248008; meanwhile, patients who survived had 11.453299, S = 4.9293458. There was a statistically significant difference between both groups (ANOVA) F = 4.4726752). Proportion of diseased/alive patients also increased with greater values of IAP. There was specificity of 97.95% for predicting mortality when IAP was > 21 cm of H2O and negative predictive value of 91.66% if IAP was < 5 cm of H2O. We conclude that IAP is a good predictor of mortality for postoperative patients admitted to the intensive care unit. There is a very high probability of death if IAP is > 21 cm of H2O and low probability if IAP is 5 < cm of H2O.


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