Intra-abdominal pressure as a predictor of acute kidney injury in postoperative abdominal surgery

dc.contributorUniversidade Estadual Paulista (Unesp)
dc.contributorUniversidade de São Paulo (USP)
dc.creatorSantos Demarchi, Ana Carolina dos [UNESP]
dc.creatorPuato de Almeida, Cibele Tais [UNESP]
dc.creatorPonce, Daniela [UNESP]
dc.creatorNovelli e Castro, Meire Cristina [UNESP]
dc.creatorDanaga, Aline Roberta
dc.creatorYamaguti, Fabio Akio [UNESP]
dc.creatorVital, Danielle [UNESP]
dc.creatorGut, Ana Lúcia [UNESP]
dc.creatorFerreira, Ana Lúcia dos Anjos [UNESP]
dc.creatorFreschi, Larissa [UNESP]
dc.creatorOliveira, Juliana [UNESP]
dc.creatorTeixeira, Ubirajara Aparecido [UNESP]
dc.creatorChristovan, Jose Carlos [UNESP]
dc.creatorGrejo, Juliana Rigoto [UNESP]
dc.creatorMartin, Luis Cuadrado [UNESP]
dc.date2014-12-03T13:10:30Z
dc.date2014-12-03T13:10:30Z
dc.date2014-05-01
dc.date.accessioned2023-09-09T09:55:18Z
dc.date.available2023-09-09T09:55:18Z
dc.identifierhttp://dx.doi.org/10.3109/0886022X.2013.876353
dc.identifierRenal Failure. London: Informa Healthcare, v. 36, n. 4, p. 557-561, 2014.
dc.identifier0886-022X
dc.identifierhttp://hdl.handle.net/11449/112187
dc.identifier10.3109/0886022X.2013.876353
dc.identifierWOS:000334936400012
dc.identifier5452093689066508
dc.identifier2940051650846541
dc.identifier4923203168446615
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8761819
dc.descriptionObjectives: The purpose of this study was to determine if intra-abdominal pressure (IAP) could predict acute renal injury (AKI) in the postoperative period of abdominal surgeries, and which would be its cutoff value. Patients and methods: A prospective observational study was conducted in the period from January 2010 to March 2011 in the Intensive Care Units (ICUs) of the University Hospital of Botucatu Medical School, UNESP. Consecutive patients undergoing abdominal surgery were included in the study. Initial evaluation, at admission in ICU, was performed in order to obtain demographic, clinical surgical and therapeutic data. Evaluation of IAP was obtained by the intravesical method, four times per day, and renal function was evaluated during the patient's stay in the ICU until discharge, death or occurrence of AKI. Results: A total of 60 patients were evaluated, 16 patients developed intra-abdominal hypertension (IAH), 45 developed an abnormal IAP (>7 mmHg) and 26 developed AKI. The first IAP at the time of admission to the ICU was able to predict the occurrence of AKI (area under the receiver-operating characteristic curve was 0.669; p=0.029) with the best cutoff point (by Youden index method) >= 7.68 mmHg, sensitivity of 87%, specificity of 46% at this point. The serial assessment of this parameter did not added prognostic value to initial evaluation. Conclusion: IAH was frequent in patients undergoing abdominal surgeries during ICU stay, and it predicted the occurrence of AKI. Serial assessments of IAP did not provided better discriminatory power than initial evaluation.
dc.descriptionSao Paulo State Univ, UNESP, Botucatu Med Sch, Dept Internal Med, BR-16201016 Birigui, SP, Brazil
dc.descriptionSao Paulo State Univ, UNESP, Botucatu Med Sch, Intens Care Unit, BR-16201016 Birigui, SP, Brazil
dc.descriptionFSP, Botucatu, SP, Brazil
dc.descriptionSao Paulo State Univ, UNESP, Botucatu Med Sch, Dept Surg, BR-16201016 Birigui, SP, Brazil
dc.descriptionSao Paulo State Univ, UNESP, Botucatu Med Sch, Dept Internal Med, BR-16201016 Birigui, SP, Brazil
dc.descriptionSao Paulo State Univ, UNESP, Botucatu Med Sch, Intens Care Unit, BR-16201016 Birigui, SP, Brazil
dc.descriptionSao Paulo State Univ, UNESP, Botucatu Med Sch, Dept Surg, BR-16201016 Birigui, SP, Brazil
dc.format557-561
dc.languageeng
dc.publisherInforma Healthcare
dc.relationRenal Failure
dc.relation1.440
dc.rightsAcesso restrito
dc.sourceWeb of Science
dc.subjectAbdominal surgery
dc.subjectacute kidney injury
dc.subjectcritical care
dc.subjectcritically patients
dc.subjectintra-abdominal hypertension
dc.subjectintra-abdominal pressure
dc.titleIntra-abdominal pressure as a predictor of acute kidney injury in postoperative abdominal surgery
dc.typeArtigo


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