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2016, Number 3

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Rev Med Inst Mex Seguro Soc 2016; 54 (3)

Intra-abdominal pressure as a surgery predictor in patients with acute abdominal pain

Campos-Muñoz MA, Villarreal-Ríos E, Chimal-Torres M, Pozas-Medina JA

Language: Spanish
References: 24
Page: 280-285
PDF size: 285.69 Kb.


ABSTRACT

Background: Intra-abdominal pressure is the pressure’s state of balance within the abdominal cavity when a patient is at rest. This pressure may vary during mechanical ventilation or spontaneous breathing. The objective was to establish the intra-abdominal pressure as a surgery predictor in patients with acute abdominal pain.
Methods: From April to December, 2013, it was carried out a nested case-control study on patients with acute abdominal pain in the emergency room of a second level hospital. Thirty-seven patients fit the inclusion criteria; they all underwent surgery with a previous measurement of the intra-abdominal pressure. Based on the results of the anatomopathological study, we divided the patients into two groups: those with evidence of acute abdominal inflammatory process (n = 28) (case group), and patients without evidence of acute abdominal inflammatory process (n = 9) (control group).
Results: In the case group, 100 % of patients shown high intra-abdominal pressure with a p = 0.01 (OR = 5 [95 % CI = 2.578-9.699]. In the case group, the mean intra-abdominal pressure was 11.46, and in the control group 9.2 (p = 0.183).
Conclusions: Abdominal pain requiring surgical intervention is directly related to intra-abdominal pressure › 5 mmHg.


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