TY - JOUR
T1 - International cross-sectional survey on current and updated definitions of intra-abdominal hypertension and abdominal compartment syndrome
AU - Nasa, Prashant
AU - Wise, Robert D.
AU - Smit, Marije
AU - Acosta, Stefan
AU - D’Amours, Scott
AU - Beaubien–Souligny, William
AU - Bodnar, Zsolt
AU - Coccolini, Federico
AU - Dangayach, Neha S.
AU - Dabrowski, Wojciech
AU - Duchesne, Juan
AU - Ejike, Janeth C.
AU - Augustin, Goran
AU - De Keulenaer, Bart
AU - Kirkpatrick, Andrew W.
AU - Khanna, Ashish K.
AU - Kimball, Edward
AU - Koratala, Abhilash
AU - Lee, Rosemary K.
AU - Leppaniemi, Ari
AU - Lerma, Edgar V.
AU - Marmolejo, Valerie
AU - Meraz–Munoz, Alejando
AU - Myatra, Sheila N.
AU - Niven, Daniel
AU - Olvera, Claudia
AU - Ordoñez, Carlos
AU - Petro, Clayton
AU - Pereira, Bruno M.
AU - Ronco, Claudio
AU - Regli, Adrian
AU - Roberts, Derek J.
AU - Rola, Philippe
AU - Rosen, Michael
AU - Shrestha, Gentle S.
AU - Sugrue, Michael
AU - Velez, Juan Carlos Q.
AU - Wald, Ron
AU - De Waele, Jan
AU - Reintam Blaser, Annika
AU - Malbrain, Manu L.N.G.
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/12
Y1 - 2024/12
N2 - Background: The Abdominal Compartment Society (WSACS) established consensus definitions and recommendations for the management of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in 2006, and they were last updated in 2013. The WSACS conducted an international survey between 2022 and 2023 to seek the agreement of healthcare practitioners (HCPs) worldwide on current and new candidate statements that may be used for future guidelines. Methods: A self-administered, online cross-sectional survey was conducted under the auspices of the WSACS to assess the level of agreement among HCPs over current and new candidate statements. The survey, distributed electronically worldwide, collected agreement or disagreement with statements on the measurement of intra-abdominal pressure (IAP), pathophysiology, definitions, and management of IAH/ACS. Statistical analysis assessed agreement levels, expressed in percentages, on statements among respondents, and comparisons between groups were performed according to the respondent’s education status, base specialty, duration of work experience, role (intensivist vs non-intensivist) and involvement in previous guidelines. Agreement was considered to be reached when 80% or more of the respondents agreed with a particular statement. Results: A total of 1042 respondents from 102 countries, predominantly physicians (73%), of whom 48% were intensivists, participated. Only 59% of HCPs were aware of the 2013 WSACS guidelines, and 41% incorporated them into practice. Despite agreement in most statements, significant variability existed. Notably, agreement was not reached on four new candidate statements: “normal intra-abdominal pressure (IAP) is 10 mmHg in critically ill adults” (77%), “clinical assessment and estimation of IAP is inaccurate” (65.2%), “intragastric can be an alternative to the intravesical route for IAP measurement” (70.4%), and “measurement of IAP should be repeated in the resting position after measurement in a supine position” (71.9%). The survey elucidated nuances in clinical practice and highlighted areas for further education and standardization. Conclusion: More than ten years after the last published guidelines, this worldwide cross-sectional survey collected feedback and evaluated the level of agreement with current recommendations and new candidate statements. This will inform the consensus process for future guideline development.
AB - Background: The Abdominal Compartment Society (WSACS) established consensus definitions and recommendations for the management of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in 2006, and they were last updated in 2013. The WSACS conducted an international survey between 2022 and 2023 to seek the agreement of healthcare practitioners (HCPs) worldwide on current and new candidate statements that may be used for future guidelines. Methods: A self-administered, online cross-sectional survey was conducted under the auspices of the WSACS to assess the level of agreement among HCPs over current and new candidate statements. The survey, distributed electronically worldwide, collected agreement or disagreement with statements on the measurement of intra-abdominal pressure (IAP), pathophysiology, definitions, and management of IAH/ACS. Statistical analysis assessed agreement levels, expressed in percentages, on statements among respondents, and comparisons between groups were performed according to the respondent’s education status, base specialty, duration of work experience, role (intensivist vs non-intensivist) and involvement in previous guidelines. Agreement was considered to be reached when 80% or more of the respondents agreed with a particular statement. Results: A total of 1042 respondents from 102 countries, predominantly physicians (73%), of whom 48% were intensivists, participated. Only 59% of HCPs were aware of the 2013 WSACS guidelines, and 41% incorporated them into practice. Despite agreement in most statements, significant variability existed. Notably, agreement was not reached on four new candidate statements: “normal intra-abdominal pressure (IAP) is 10 mmHg in critically ill adults” (77%), “clinical assessment and estimation of IAP is inaccurate” (65.2%), “intragastric can be an alternative to the intravesical route for IAP measurement” (70.4%), and “measurement of IAP should be repeated in the resting position after measurement in a supine position” (71.9%). The survey elucidated nuances in clinical practice and highlighted areas for further education and standardization. Conclusion: More than ten years after the last published guidelines, this worldwide cross-sectional survey collected feedback and evaluated the level of agreement with current recommendations and new candidate statements. This will inform the consensus process for future guideline development.
KW - Abdominal compartment syndrome
KW - Abdominal hypertension
KW - Abdominal pressure
KW - Definitions
KW - Management
KW - Pathophysiology
KW - Survey
UR - http://www.scopus.com/inward/record.url?scp=85211104543&partnerID=8YFLogxK
U2 - 10.1186/s13017-024-00564-5
DO - 10.1186/s13017-024-00564-5
M3 - Article
C2 - 39609850
AN - SCOPUS:85211104543
SN - 1749-7922
VL - 19
JO - World Journal of Emergency Surgery
JF - World Journal of Emergency Surgery
M1 - 39
ER -