Ejike J.C., Humbert S, Bahjri K, Mathur M. . "Outcomes of children with Abdominal Compartment syndrome.." Acta Clinica Belgica 62.Suppl 1) (2007): 141-148. ( 1/2007 )
INTRODUCTION: Abdominal compartment syndrome (ACS) is a problem across all
critical care scenarios and is associated with a high mortality. It has not been
well described in pediatric populations. OBJECTIVE: To describe the occurrence of
ACS in a subset of critically ill pediatric patients and determine its effects on
mortality and length of pediatric intensive care stay (PICU LOS). We also aimed
to find predictors of mortality and development of ACS. SETTING: 25 bed tertiary
pediatric intensive care unit. PATIENTS: Patients less than 50 kg on mechanical
ventilation and a urethral catheter. MEASUREMENTS: Intra-abdominal pressures
(IAP) were monitored using the intra-vesical technique. ACS was defined as IAP of
>12mmHg associated with new organ dysfunction or failure. Demographics,
physiologic measures of organ dysfunction, PICU LOS and mortality were monitored.
MAIN RESULTS: 14 (4.7%) of 294 eligible patients had ACS. Mortality was 50% among
those with ACS versus 8.2% without (p17 were predictive of developing ACS.
CONCLUSIONS: ACS is a clinical problem that increases the risk of mortality in
critically ill children. IAP and PRISM scores may help identify children likely
to develop ACS.