• Jesus Sosa Garcia, Angel Perez Calatayud, and Raul Carrillo Esper.
• Chest. 2014 Mar 1;145(3 Suppl):193A.

Session TitleCritical Care Posters IIISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: To determine the prevalence of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS), and its correlation with mortality, APACHE II, SOFA, fluid balance and lactate.MethodsWe design a prospective non-randomized study in the Intensive Care Unit (ICU) from March to October of 2009. We included patients of both genders, 18 years old or more, with medical o surgical illness, and an in hospital stay of at least 24 hrs. We monitored the intra-abdominal pressure (IAP) by bladder pressure every 4 to 6 hours and in high risk patients every hour. For the statistical analysis we applied a descriptive statistics, for prevalence and mortality we used a "T" student analysis for a p value of p=0.05, for interdependence of the variables we used a Pearson correlation.ResultsWe analyzed a total of 110 patients, we excluded 17. The 93 patients included were distributed in 3 groups according to the degree of IAP. 52 patients had normal IAP, 32 presented IAH and 9 ACS. 55 patients had a medical illness and 38 had a surgical one. The prevalence of IAH was 34% and ACS 10%. Medical illness caused 62.5% of the cases and 66.6% of ACS had a primary origin with a mortality of 15%. APACHE II and SOFA score were higher in patients with IAH and ACS. We evidenced an interdependence between fluid balance, lactate levels and IAP without a statistical significance for p=0.05.ConclusionsIAH is en frequent entity in the ICU, witch associates to different degrees of organ dysfunction and when not treated, it evolves to ACS incrementing morbidity and mortality.Clinical ImplicationsIAP measure should be implemented in ICU patients for early detection of IAH and ACS.DisclosureThe following authors have nothing to disclose: Jesus Sosa Garcia, Angel Perez Calatayud, Raul Carrillo EsperNo Product/Research Disclosure Information.

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