Skip to main content

Advertisement

Table 1 Prevalence, incidence and risk factors of IAH in mixed ICU populations

From: Should we measure intra-abdominal pressures in every intensive care patient?

Authors, year Study type Study period Inclusion criteria Patients included Patients treated in study unit(s) during the study period IAH threshold IAH prevalence on admission day IAH incidence Independent risk factors of IAH
Malbrain3, 2004 Multi-centre, 1-day point prevalence 1 day Adults, ICU stay > 24 h 97 NA Max IAP ≥ 12 mmHg Mean IAP ≥ 12 mmHg 58.8% (study day) 23.7% NA - BMI
Malbrain4, 2005 Prospective, Multi-centre 4 weeks Adults, ICU stay > 24 h 265 NA Mean IAP > 12 mmHg 32.1% 56% during 1st ICU week - Liver dysfunction - Abdominal surgery - Fluid resuscitation - Ileus
Vidal12, 2008 Prospective, single-centre 8 months Adults, expected to stay > 24 h 83 153 IAP ≥ 12 mmHg in at least three consecutive measurements 23.0% 54.0% during 1st ICU week - Fluid resuscitation - Acidosis - Hypotension - Gastroparesis/ileus - ARDS - Mechanical ventilation
Dalfino13, 2008 Prospective, single-centre 6 months Adults, ICU stay > 24 h 123 215 IAP ≥ 12 mmHg in at least two consecutive measurements 19.0% 31.0% during ICU stay - Age - Cumulative fluid balance - Shock
Reintam14, 2008 Prospective, single-centre 24 months Adults, mechanical ventilation + one additional predisposing condition for IAH 257 754 Sustained or repeated IAP ≥ 12 mmHg 23.3% 37.0% during ICU stay - No independent risk factors identified
Reintam Blaser15, 2011 Prospective, single-centre 33 months Mechanically ventilated adults, expected to stay > 24 h 563 922 Sustained or repeated IAP ≥ 12 mmHg 20.4% 32.3% during ICU stay - Pancreatitis - Hepatic failure/cirrhosis with ascites - GI bleeding - PEEP > 10 cmH2O - Vasopressor/inotrope - BMI > 30 kg/m2 - Laparotomy - PaO2/FiO2 < 300 mmHg