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Abdominal perfusion pressure is superior from intra-abdominal pressure to detect deterioration of renal perfusion in critically Ill patients

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dc.contributor.authorGÜL, FETHİ
dc.contributor.authorsGul, Fethi; Sayan, Ismet; Kasapoglu, Umut Sabri; Erol, Derya Ozer; Arslantas, Mustafa Kemal; Cinel, Ismail; Aykac, Zuhal
dc.date.accessioned2022-03-14T09:09:59Z
dc.date.available2022-03-14T09:09:59Z
dc.date.issued2019
dc.description.abstractBACKGROUND: Intra-abdominal hypertension (IAH) is a frequent cause of acute kidney injury (AKI) among critically ill patients who have risk factors. This study aimed to determine the relation between Abdominal Perfusion Pressure (APP) and AKI showed by the Doppler-based renal resistive index (RRI). METHODS: In this study, 38 patients older than 18 years old who received mechanical ventilation and had risk factors for the development of IAH were prospectively studied. All measurements and parameters were divided into two groups according to renal dysfunction (Group I: RRI <0.72 vs Group II: RRI >0.72). RESULTS: The mean IAPs were not significant between the groups, 11.5 +/- 6.9 mm Hg in Group I (n=35) and 13.5 +/- 5.8 in Group II (n=33), respectively. APPs were statistically higher in Group I (81.2 +/- 13.6) than Group II (66.4 +/- 9.5) (p<0.001). The AUC for the association between APP at RRI >0.72 was 0.802 (p<0.001), with the APP <= 72 mmHg having a sensitivity of the 76% (95% CI 58-89%) and a specificity of 71% (95% CI 54-85%). CONCLUSION: Our findings suggest that an APP with a threshold of <= 72 mmHg is associated with a significant increase in renal RRI, which may be predictive of worsening of renal perfusion.
dc.identifier.doi10.14744/tjtes.2019.25263
dc.identifier.issn1306-696X
dc.identifier.pubmed31701496
dc.identifier.urihttps://hdl.handle.net/11424/242677
dc.identifier.wosWOS:000493398900004
dc.language.isoeng
dc.publisherTURKISH ASSOC TRAUMA EMERGENCY SURGERY
dc.relation.ispartofULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAbdominal perfusion pressure
dc.subjectrenal perfusion pressure
dc.subjectrenal resistive index
dc.subjectACUTE KIDNEY INJURY
dc.subjectCOMPARTMENT SYNDROME
dc.subjectRESISTIVE INDEX
dc.subjectHYPERTENSION
dc.subjectULTRASONOGRAPHY
dc.subjectSECONDARY
dc.titleAbdominal perfusion pressure is superior from intra-abdominal pressure to detect deterioration of renal perfusion in critically Ill patients
dc.typearticle
dspace.entity.typePublication
local.avesis.id3b4dd37f-beda-400e-84f4-a7da55e18309
local.import.packageSS16
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.indexed.atTRDIZIN
local.journal.numberofpages6
local.journal.quartileQ4
oaire.citation.endPage566
oaire.citation.issue6
oaire.citation.startPage561
oaire.citation.titleULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
oaire.citation.volume25
relation.isAuthorOfPublication907a6efd-2877-4832-b6a2-d87a28e52165
relation.isAuthorOfPublication.latestForDiscovery907a6efd-2877-4832-b6a2-d87a28e52165

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