Prevalence, Risk Factors, and Prognostic Factors of Intraabdominal Hypertension and Abdominal Compartment Syndrome in Critically Ill Surgical Patients in Ramathibodi Hospital

Overview

To identified prevalence, risk factors, and prognostic factors of IAH and ACS in surgical critically ill patients in institutional hospital

Study Type

  • Study Type: Observational [Patient Registry]
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: December 10, 2019

Detailed Description

Every postoperative patients admitted to surgical ICU who meet inclusion criteria will be asked for informed consent. After obtained, intraabdominal pressure (IAP) will be measured through already placed Foley's catheter simultaneously with patients's data record. If patients don't have IAH or ICS, IAP will be measured daily until discharge from ICU or removal of Foley's catheter. If patients have IAH or ACS, IAP will be measured every 6-8 hours until IAP is less than 12 mmHg then it will be measures daily until discharge from ICU or removal of Foley's catheter. After completion of data collection, data will be analyzed accordingly.

Interventions

  • Diagnostic Test: Intraabdominal pressure monitoring
    • Classic manometry technique measurement once daily

Arms, Groups and Cohorts

  • Surgical patients
    • All postoperative patients admitted to surgical ICU with foley catheter in place

Clinical Trial Outcome Measures

Primary Measures

  • Prevalence of intraabdominal hypertension and abdominal compartment syndrome
    • Time Frame: Within 30 days of ICU admission
    • Prevalence of intraabdominal hypertension and abdominal compartment syndrome

Secondary Measures

  • Risk factors of intraabdominal hypertension and abdominal compartment syndrome
    • Time Frame: Within 30 days of ICU admission
    • Risk factors of intraabdominal hypertension and abdominal compartment syndrome
  • Prognostic factors of death after developing intraabdominal hypertension and abdominal compartment syndrome
    • Time Frame: Within 30 days of ICU admission
    • Prognostic factors of death after developing intraabdominal hypertension and abdominal compartment syndrome

Participating in This Clinical Trial

Inclusion Criteria

  • Postoperative patient admitted to surgical ICU – Age >/= 18 – Foley's catheter in place Exclusion Criteria:

  • Patient refusal – Underwent neo-bladder procedure – Need continuous bladder irrigation

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Ramathibodi Hospital
  • Provider of Information About this Clinical Study
    • Principal Investigator: Cherdkiat karnjanarachata, MD – Ramathibodi Hospital
  • Overall Official(s)
    • Cherdkiat Karnjanarachata, MD, Principal Investigator, Faculty of medicine, Ramathibodi Hospital
  • Overall Contact(s)
    • Cherdkiat Karnjanarachata, MD, +66-85-5774747, chird_na@yahoo.com

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