Role of Intra-Abdominal Pressure as a Prognostic Marker and Its Correlation with APACHE II and SOFA Scores in Patients of Acute Pancreatitis

Intra-abdominal hypertension (IAH) is a known but neglected complication in acute pancreatitis. The present study was conducted to establish the role of intra-abdominal pressure (IAP) as a prognostic marker in patients with acute pancreatitis and also to correlate IAP with APACHE II and SOFA scores....

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Bibliographic Details
Published in:Indian journal of surgery 2022-08, Vol.84 (Suppl 2), p.485-491
Main Authors: Gupta, Arun Kumar, Yadav, Ekta, Gupta, Nikhil, Yelamanchi, Raghav, Bansal, Lalit Kumar, Durga, C. K.
Format: Article
Language:English
Subjects:
Abdomen
Cardiac Surgery
Health aspects
Hypertension
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Neurosurgery
Original Article
Pancreatitis
Pediatric Surgery
Plastic Surgery
Prognosis
Surgery
Thoracic Surgery
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Summary:Intra-abdominal hypertension (IAH) is a known but neglected complication in acute pancreatitis. The present study was conducted to establish the role of intra-abdominal pressure (IAP) as a prognostic marker in patients with acute pancreatitis and also to correlate IAP with APACHE II and SOFA scores. A prospective observational single-center cohort study was conducted on adult patients diagnosed with acute pancreatitis. Intra-abdominal pressure was measured through a transurethral Foley’s bladder catheter. APACHE II and SOFA scores were calculated at the time of admission (day 1). APACHE II score was reevaluated on day 3 and 5. SOFA score was reevaluated everyday till day 5. APACHE II score, SOFA score, and IAP at admission were significantly higher among non survivors when compared to survivors. There was significant correlation of IAP with APACHE II and SOFA scores. APACHE II and SOFA scores at cut-off values of 12 and 6 predicted IAP of > 12 (mm of Hg) with reasonable sensitivity and specificity. IAP could be used as a reliable negative prognostic marker in acute pancreatitis. APACHE II and SOFA scores could be used to predict intra-abdominal hypertension in patients of acute pancreatitis.
ISSN:0972-2068
0973-9793
DOI:10.1007/s12262-021-02854-7