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Factors associated with increased intra-abdominal pressure in patients undergoing cardiac surgery

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dc.contributor.authorAYKAÇ, ZEYNEP ZUHAL
dc.contributor.authorsKilic, Bahriye; Yapici, Nihan; Yapici, Fikri; Kavakli, Ali Sait; Kudsioglu, Turkan; Kilic, Abdullah; Aykac, Zuhal
dc.date.accessioned2022-04-25T00:11:52Z
dc.date.available2022-04-25T00:11:52Z
dc.date.issued2020
dc.description.abstractBackground: The aim of this study was to investigate the intra-abdominal pressure changes and risk factors associated with increased intra-abdominal pressure in patients undergoing cardiac surgery. Methods: Between July 2016 and January 2017, a total of 100 patients (74 males, 26 females; mean age 55.9 +/- 14.3 years; range, 19 to 75 years) who underwent cardiac surgery under cardiopulmonary bypass were included in the study. Patients' data including demographic and clinical characteristics and intra- and postoperative data were recorded. Intra-abdominal pressure was measured via a urinary catheter after anesthesia induction, on admission to the intensive care unit, and at postoperative 12 and 24 h. The patients were divided into two groups according to the intra-abdominal pressure as Group 1 (>==12 mmHg; n=49) and Group 2 (<12 mmHg; n=51). Results: In the univariate regression analysis, high intra-abdominal pressure was related to intra-abdominal pressure measured after anesthesia induction (Odds Ratio = 0.70, p=0.001), age (odds ratio=0.95, p=0.004), hypertension (odds ratio=4.51, p=0.0001), duration of cardiopulmonary bypass (odds ratio=0.97, p=0.0001), intraoperative lactate levels (odds ratio=0.53, p=0.0001), use of red blood cells (odds ratio=0.24, p=0.0001), use of dopamine (odds ratio=0.21, p=0.002), dobutamine (odds ratio= 0.28, p=0.005), use of noradrenaline (odds ratio=0.25, p=0.016), postoperative lactate levels (odds ratio=0.60, p=0.0001), duration of cross-clamp (odds ratio=0.97, p=0.0001), atrial fibrillation (odds ratio=5.89, p=0.004), and acute kidney injury (odds ratio=8.33, p=0.048). In the multivariate analysis, the intra-abdominal pressure at baseline (odds ratio=0.70, p=0.045), age (odds ratio=0.93, p=0.032), hypertension (odds ratio=6.87, p=0.023), duration of cardiopulmonary bypass (odds ratio=0.98, p=0.062), intraoperative lactate levels (odds ratio=0.57, p=0.035), and use of red blood cells (odds ratio=0.19, p=0.003) remained statistically significant. Conclusion: Our study results suggest that age, hypertension, duration of cardiopulmonary bypass, intraoperative lactate levels, and use of red blood cells are risk factors associated with elevated intra- abdominal pressure in patients undergoing cardiac surgery. Increased awareness of these risk factors and the addition of intra-abdominal pressure measurement to the standard follow-up scheme in patients with variable hemodynamics, low cardiac output, and high lactate levels in the intensive care unit may be useful in early diagnosis of complications and in decreasing morbidity.
dc.identifier.doi10.5606/tgkdc.dergisi.2020.18662
dc.identifier.issn1301-5680
dc.identifier.pubmed32175154
dc.identifier.urihttps://hdl.handle.net/11424/263981
dc.identifier.wosWOS:000512647300016
dc.languageeng
dc.publisherBAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK
dc.relation.ispartofTURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCardiac surgery
dc.subjectcardiopulmonary bypass
dc.subjectintra-abdominal pressure
dc.subjectrisk factor
dc.subjectABDOMINAL COMPARTMENT SYNDROME
dc.subjectPERFUSION-PRESSURE
dc.subjectHYPERTENSION
dc.subjectBYPASS
dc.titleFactors associated with increased intra-abdominal pressure in patients undergoing cardiac surgery
dc.typearticle
dspace.entity.typePublication
local.avesis.id2f60c569-ea27-4d12-8d5f-7231628c0013
local.import.packageSS39
local.indexed.atWOS
local.journal.numberofpages9
local.journal.quartileQ4
oaire.citation.endPage142
oaire.citation.issue1
oaire.citation.startPage134
oaire.citation.titleTURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
oaire.citation.volume28
relation.isAuthorOfPublicationd5943313-9399-4d28-95ce-afc21043fec2
relation.isAuthorOfPublication.latestForDiscoveryd5943313-9399-4d28-95ce-afc21043fec2

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