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Intra-Abdominal Hypertension is a Risk Factor for Increased VAP Incidence: A Prospective Cohort Study in the ICU of a Tertiary Hospital
dc.creator | Papakrivou E., Makris D., Manoulakas E., Karvouniaris M., Zakynthinos E. | en |
dc.date.accessioned | 2023-01-31T09:43:42Z | |
dc.date.available | 2023-01-31T09:43:42Z | |
dc.date.issued | 2020 | |
dc.identifier | 10.1177/0885066618779369 | |
dc.identifier.issn | 08850666 | |
dc.identifier.uri | http://hdl.handle.net/11615/77747 | |
dc.description.abstract | Background: Ventilator-associated pneumonia (VAP) might be increased in cases with intra-abdominal hypertension (IAH). However, despite animal experimentation and physiological studies on humans in favor of this hypothesis, there is no definitive clinical data that IAH is associated with VAP. We therefore aimed to study whether IAH is a risk factor for increased incidence of VAP in critical care patients. This 1-center prospective observational cohort study was conducted in the intensive care unit of the University Hospital of Larissa, Greece, during 2013 to 2015. Consecutive patients were recruited if they presented risk factors for IAH at admission and were evaluated systematically for IAH and VAP for a 28-day period. Results: Forty-five (36.6%) of 123 patients presented IAH and 45 (36.6%) presented VAP; 24 patients presented VAP following IAH. Cox regression analysis showed that VAP was independently associated with IAH (1.06 [1.01-1.11]; P =.053), while there was an indication for an independent association between VAP and abdominal surgery (1.62 [0.87-3.03]; P =.11] and chronic obstructive pulmonary disease (1.79 [0.96-3.37]; P =.06). Conclusions: Intra-abdominal hypertension is an independent risk factor for increased VAP incidence in critically ill patients who present risk factors for IAH at admission to the ICU. © The Author(s) 2018. | en |
dc.language.iso | en | en |
dc.source | Journal of Intensive Care Medicine | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048893722&doi=10.1177%2f0885066618779369&partnerID=40&md5=1f399fd259de665166a525aa185f5a4c | |
dc.subject | abdominal compartment syndrome | en |
dc.subject | abdominal distension | en |
dc.subject | abdominal pressure | en |
dc.subject | abdominal surgery | en |
dc.subject | acidosis | en |
dc.subject | activated partial thromboplastin time | en |
dc.subject | adult | en |
dc.subject | arterial gas | en |
dc.subject | Article | en |
dc.subject | bladder pressure | en |
dc.subject | blood biochemistry | en |
dc.subject | chronic obstructive lung disease | en |
dc.subject | cohort analysis | en |
dc.subject | colony forming unit | en |
dc.subject | critically ill patient | en |
dc.subject | female | en |
dc.subject | fluid balance | en |
dc.subject | fluid resuscitation | en |
dc.subject | hemodynamic parameters | en |
dc.subject | hemoperitoneum | en |
dc.subject | hospitalization | en |
dc.subject | human | en |
dc.subject | hypothermia | en |
dc.subject | intensive care unit | en |
dc.subject | intraabdominal hypertension | en |
dc.subject | liver dysfunction | en |
dc.subject | major clinical study | en |
dc.subject | male | en |
dc.subject | microbiological examination | en |
dc.subject | middle aged | en |
dc.subject | observational study | en |
dc.subject | Physiology and Chronic Health Evaluation II score | en |
dc.subject | priority journal | en |
dc.subject | prospective study | en |
dc.subject | prothrombin time | en |
dc.subject | risk factor | en |
dc.subject | scoring system | en |
dc.subject | tertiary care center | en |
dc.subject | thorax radiography | en |
dc.subject | thrombocytopenia | en |
dc.subject | tracheal aspiration procedure | en |
dc.subject | ventilator associated pneumonia | en |
dc.subject | APACHE | en |
dc.subject | complication | en |
dc.subject | critical care outcome | en |
dc.subject | critical illness | en |
dc.subject | hospital mortality | en |
dc.subject | incidence | en |
dc.subject | intraabdominal hypertension | en |
dc.subject | mortality | en |
dc.subject | proportional hazards model | en |
dc.subject | ventilator associated pneumonia | en |
dc.subject | APACHE | en |
dc.subject | Critical Care Outcomes | en |
dc.subject | Critical Illness | en |
dc.subject | Female | en |
dc.subject | Hospital Mortality | en |
dc.subject | Humans | en |
dc.subject | Incidence | en |
dc.subject | Intensive Care Units | en |
dc.subject | Intra-Abdominal Hypertension | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Pneumonia, Ventilator-Associated | en |
dc.subject | Proportional Hazards Models | en |
dc.subject | Prospective Studies | en |
dc.subject | Risk Factors | en |
dc.subject | Tertiary Care Centers | en |
dc.subject | SAGE Publications Inc. | en |
dc.title | Intra-Abdominal Hypertension is a Risk Factor for Increased VAP Incidence: A Prospective Cohort Study in the ICU of a Tertiary Hospital | en |
dc.type | journalArticle | en |
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