Vol 6, No 1 (2021)
Original article
Published online: 2021-02-11

open access

Page views 559
Article views/downloads 819
Get Citation

Connect on Social Media

Connect on Social Media

Effect of Body Mass Index on Intra-abdominal Pressure in Patients Hospitalized in ICUs

Sedighe Samimian1, Tahereh Khaleghdoost2, Ali Ashraf1, Hamideh Hakimi3
Medical Research Journal 2021;6(1):16-20.

Abstract

Introduction: Considering the prevalence of obesity, overweight and risk factors related to the patients with Intra-abdominal pressure, the body mass index is among the factor which should be highly focused on these patients. The main objective of this study was to evaluate the effect of body mass index on Intra-abdominal pressure in patients hospitalized in ICUs.

Procedure: The present research is a prospective, nonexperimental study conducted on 76 patients hospitalized in ICUs. Measurements of Intra-abdominal pressure were carried out based on the modified Korn method every day with 8-hour intervals. The instrument used for this purpose is a questionnaire consisting of three parts including demographic information, Sequential Organ Failure Assessment (SOFA) score, and intra-abdominal pressure monitoring form and record of its related parameters.

Findings: The mean body mass index (BMI) scores revealed that 27.60% of the patients suffer from overweight and 7.2% of them have obesity problems with Intra-abdominal pressure of 8.44 ± 4.02 mmHg. For 15.8% and 2.6% of samples, Intra-abdominal hypertension of types I and II were observed, respectively. No sample was detected within the abdominal compartment. The average Intra-abdominal pressure for different BMIs indicated a statistically significant difference (p = 0.007), whereby an increase in BMI, IAP also indicates an increase.

Conclusion: The present research indicated no obesity evidence so that no relation was observed between IAP and obesity.

Article available in PDF format

View PDF Download PDF file

References

  1. Mabrain ML, Chiumello D, Pelosi P, et al. Prevalence of intra-abdominal hypertension in critically ill patients: a multi-center epidemiological study. Intensive Care Med. 2004; 30(5): 822–9.
  2. Gallagher J. , Intra-abdominal Hypertension, AACN Advanced Critical Care. 2010; 21(2): 205–217.
  3. De K, De W, Powell B, et al. What is normal intra-abdominal pressure and how is it affected by positioning, body mass and positive end –expiratory pressure? Intensive Care Med. 2009; 35: 969–976.
  4. De Waele JJ, Cheatham ML, Malbrain ML, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med. 2006; 32(11): 1722–1732.
  5. Vasquez DG, Berg-Copas GM, Wetta-Hall R. Influence of semi-recumbent position on intra-abdominal pressure as measured by bladder pressure. J Surg Res. 2007; 139(2): 280–285.
  6. Subak LL, Richter HE, Hunskaar S. Obesity and urinary incontinence: epidemiology and clinical research update. J Urol. 2009; 182(6 Suppl): S2–S7.
  7. Yi M, Leng Y, Bai Yu, et al. The evaluation of the effect of body positioning on intra-abdominal pressure measurement and the effect of intra-abdominal pressure at different body positioning on organ function and prognosis in critically ill patients. J Crit Care. 2012; 27(2): 222.e1–222.e6.
  8. Kimball EJ, Rollins MD, Mone MC, et al. Survey of intensive care physicians on the recognition and management of intra-abdominal hypertension and abdominal compartment syndrome. Crit Care Med. 2006; 34(9): 2340–2348.
  9. Rein ta, Parm P, Kern H, et al. Primary and secondary intra-abdominal hypertension __ different impact on ICU outcome. Intensive Care Med. 2008; 34: 1624.
  10. Malbrain M, Chiumello D, Pelosi P, et al. Incidence and prognosis of intra-abdominal hypertension in a mixed population of critically ill patients: a multiple-center epidemiological study. Crit Care Med. 2005; 33: 315–322.
  11. Santa-Teresa P, Muñoz J, Montero I, et al. Incidence and prognosis of intra-abdominal hypertension in critically ill medical patients: a prospective epidemiological study. Ann Intensive Care. 2012; 2 Suppl 1: S3.
  12. Aaron J. Wood. , Obesity in critically care, current opinion Anesthesiology. 2007; 20(2): 113–8.
  13. Murcia I, et al. Sobbing- Hernandez M., Garcia- lopes n. Usefulness of intra-abdominal pressure in a predominantly medical intensive care unit Journal of critical care. ; 2010: 25175e1–175e6.
  14. Ejike JC, Kadry J, Bahjri K, et al. Semi-recumbent position and body mass percentiles: effects on intra-abdominal pressure measurements in critically ill children. Intensive Care Med. 2010; 36(2): 329–335.
  15. McBeth PB, Zygun DA, Widder S, et al. Effect of patient positioning on intra-abdominal pressure monitoring. Am J Surg. 2007; 193(5): 644–7; discussion 647.
  16. Krebs J, Pelosi P, Tsagogiorg C, et al. Effect of positive end-expiratory pressure on respiratory function and hemodynamics in patients with acute respiratory failure with and witnout intra-abdominal hypertension : a pilot study. crit care. 2009; 13(5): R160.
  17. Cobb WS, Burns JM, Kercher KW, et al. Normal intraabdominal pressure in healthy adults. J Surg Res. 2005; 129(2): 231–235.
  18. Malbrain M. Relationship of body mass index (BMI), lactate and intra-abdominal pressure (IAP) to subsequent mortality in ICU patients. Critical Care. 1999; 3(Suppl 1): P039.
  19. Hon I, WuK So, Hyup Na, et al. Hon I, WuK Son D, Hyup Nam K, Chio B, Sung Song G, The effect of body mass index on intra-abdominal pressure and blood loss in lumbar spine surgery, J Korean Neurosurg Soc. 2012; 51: 81–85.