Abstract

Objective To investigate the risk factors of intra abdominal hypertension (IAH) in EICU patients and assess the prognosis of EICU patients with IAH. Methods The clinical data of patients were analyzed and internal bladder pressure was used to measure IAH, multivariate logistic regression analysis was applied to analyze the indexes including age, gender, Acute Physiology and Chronic Health Evaluation Ⅱ scores (APACHE Ⅱ), 24-hour fluid balance, hematocrit, serum calcium level and so on.Clinical prognosis such as mortality, hospital duration, etc.of patients with or without IAH were also compared. Results First 24-hour fluid balance, APACHE Ⅱ and serum albumin level were found to be independent risk factors for IAH in patients.Moreover, patients with IAH had significantly longer average length of hospital and intensive care unit duration, higher rates of systemic and local complications and more invasive treatments. Conclusion The results of this study are in favor of relief these risk factors in patients with IAH in early time. Key words: Emergency ICU; Intra abdominal hypertension; Risk factors; Monitoring

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