Research Information System
Eurasian Journal of Emergency Medicine, vol.24, no.2, pp.95-100, 2025 (ESCI, TRDizin)
Aim: Intra abdominal hypertension (IAH) and abdominal compartment syndrome have emerged as significant causes of morbidity and mortality in critically ill surgical and medical patients. The prognostic value of elevated intra-abdominal pressure (IAP) has led to its recognition as a near-routine vital parameter in high-risk patients. This study aimed to monitor IAP elevations, low abdominal perfusion pressure (APP), and their clinical implications in patients admitted to emergency critical care units. Materials and Methods: This study included 89 patients admitted to intensive care units (ICUs), whose IAP was measured using the bladder pressure method. A volume of 25 mL saline was instilled into the bladder, and measurements were taken with the symphysis pubis level as the zero-reference point. Patients were grouped based on IAP values (<12 mmHg and ≥12 mmHg) and APP values (<60 mmHg and ≥60 mmHg). Morbidity outcomes included inotropic support, ventilator dependency, sepsis incidence, SOFA scores, and mortality rates. Statistical analyses were performed. Results: Among 89 patients, 36 had IAH, and 34 exhibited low APP. Patients with IAH and low APP demonstrated a higher need for inotropic support, increased sepsis incidence, and higher rates of organ failure. A strong association was observed between mortality and low APP, particularly in cases of IAH. Conclusion: Bladder pressure measurement is a simple and effective method to evaluate IAP in critically ill ICU patients. Elevated IAP and low APP were associated with poorer morbidity and mortality outcomes. IAP measurement should be considered essential for the survival prediction of critically ill patients in future ICU protocols.