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Evaluation of Intra-Abdominal Hypertension Parameters in Patients with Acute Pancreatitis
Background: Patients with acute pancreatitis develop numerous complications and organ damage due to increased intra-abdominal pressure (IAP). These extrapancreatic complications determine the clinical outcome of the disease. Materials and methods: A total of 100 patients with acute pancreatitis were...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10304430/ https://www.ncbi.nlm.nih.gov/pubmed/37374010 http://dx.doi.org/10.3390/life13061227 |
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author | Stojanović, Maja Đurić, Marko Nenadić, Irina Dimić, Nemanja Bojić, Suzana Stevanović, Predrag |
author_facet | Stojanović, Maja Đurić, Marko Nenadić, Irina Dimić, Nemanja Bojić, Suzana Stevanović, Predrag |
author_sort | Stojanović, Maja |
collection | PubMed |
description | Background: Patients with acute pancreatitis develop numerous complications and organ damage due to increased intra-abdominal pressure (IAP). These extrapancreatic complications determine the clinical outcome of the disease. Materials and methods: A total of 100 patients with acute pancreatitis were included in the prospective cohort study. Observed patients were divided into two groups according to their mean values of IAP (normal IAP values and elevated IAP values), which were compared with examined variables. Patients with intra-abdominal hypertension (IAH) were divided into four groups by IAP values, and those groups of patients were also compared with the examined variables. Results: Differences between body mass index (BMI) (p = 0.001), lactates (p = 0.006), and the Sequential Organ Failure Assessment (SOFA) score (p = 0.001) were statistically significant within all examined IAH groups. Differences between the mean arterial pressure (MAP) (p = 0.012) and filtration gradient (FG) (p < 0.001) were statistically significant between the first and second IAH groups in relation to the fourth. Differences in diuresis per hour (p = 0.022) showed statistical significance in relation to the first and third groups of IAH patients. Conclusions: Changes in IAP values lead to changes in basic vital parameters MAP, APP, FG, diuresis per hour, and lactate levels in patients with acute pancreatitis. Early recognition of changes in the SOFA score accompanying an increase in the IAP value is essential. |
format | Online Article Text |
id | pubmed-10304430 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103044302023-06-29 Evaluation of Intra-Abdominal Hypertension Parameters in Patients with Acute Pancreatitis Stojanović, Maja Đurić, Marko Nenadić, Irina Dimić, Nemanja Bojić, Suzana Stevanović, Predrag Life (Basel) Article Background: Patients with acute pancreatitis develop numerous complications and organ damage due to increased intra-abdominal pressure (IAP). These extrapancreatic complications determine the clinical outcome of the disease. Materials and methods: A total of 100 patients with acute pancreatitis were included in the prospective cohort study. Observed patients were divided into two groups according to their mean values of IAP (normal IAP values and elevated IAP values), which were compared with examined variables. Patients with intra-abdominal hypertension (IAH) were divided into four groups by IAP values, and those groups of patients were also compared with the examined variables. Results: Differences between body mass index (BMI) (p = 0.001), lactates (p = 0.006), and the Sequential Organ Failure Assessment (SOFA) score (p = 0.001) were statistically significant within all examined IAH groups. Differences between the mean arterial pressure (MAP) (p = 0.012) and filtration gradient (FG) (p < 0.001) were statistically significant between the first and second IAH groups in relation to the fourth. Differences in diuresis per hour (p = 0.022) showed statistical significance in relation to the first and third groups of IAH patients. Conclusions: Changes in IAP values lead to changes in basic vital parameters MAP, APP, FG, diuresis per hour, and lactate levels in patients with acute pancreatitis. Early recognition of changes in the SOFA score accompanying an increase in the IAP value is essential. MDPI 2023-05-23 /pmc/articles/PMC10304430/ /pubmed/37374010 http://dx.doi.org/10.3390/life13061227 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Stojanović, Maja Đurić, Marko Nenadić, Irina Dimić, Nemanja Bojić, Suzana Stevanović, Predrag Evaluation of Intra-Abdominal Hypertension Parameters in Patients with Acute Pancreatitis |
title | Evaluation of Intra-Abdominal Hypertension Parameters in Patients with Acute Pancreatitis |
title_full | Evaluation of Intra-Abdominal Hypertension Parameters in Patients with Acute Pancreatitis |
title_fullStr | Evaluation of Intra-Abdominal Hypertension Parameters in Patients with Acute Pancreatitis |
title_full_unstemmed | Evaluation of Intra-Abdominal Hypertension Parameters in Patients with Acute Pancreatitis |
title_short | Evaluation of Intra-Abdominal Hypertension Parameters in Patients with Acute Pancreatitis |
title_sort | evaluation of intra-abdominal hypertension parameters in patients with acute pancreatitis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10304430/ https://www.ncbi.nlm.nih.gov/pubmed/37374010 http://dx.doi.org/10.3390/life13061227 |
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