International cross-sectional survey on current and updated definitions of intra-abdominal hypertension and abdominal compartment syndrome

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dc.contributor.authorNasa, Prashant
dc.contributor.authorWise, Robert D.
dc.contributor.authorSmit, Marije
dc.contributor.authorAcosta, Stefan
dc.contributor.authorD’Amours, Scott
dc.contributor.authorBeaubien–Souligny, William
dc.contributor.authorBodnar, Zsolt
dc.contributor.authorCoccolini, Federico
dc.contributor.authorDangayach, Neha S.
dc.contributor.authorDabrowski, Wojciech
dc.contributor.authorDuchesne, Juan
dc.contributor.authorEjike, Janeth C.
dc.contributor.authorAugustin, Goran
dc.contributor.authorDe Keulenaer, Bart
dc.contributor.authorKirkpatrick, Andrew W.
dc.contributor.authorKhanna, Ashish K.
dc.contributor.authorKimball, Edward
dc.contributor.authorKoratala, Abhilash
dc.contributor.authorLee, Rosemary K.
dc.contributor.authorLeppaniemi, Ari
dc.contributor.authorLerma, Edgar V.
dc.contributor.authorMarmolejo, Valerie
dc.contributor.authorMeraz–Munoz, Alejando
dc.contributor.authorMyatra, Sheila N.
dc.contributor.authorNiven, Daniel
dc.contributor.authorOlvera, Claudia
dc.contributor.authorOrdoñez, Carlos
dc.contributor.authorPetro, Clayton
dc.contributor.authorPereira, Bruno M.
dc.contributor.authorRonco, Claudio
dc.contributor.authorRegli, Adrian
dc.contributor.authorRoberts, Derek J.
dc.contributor.authorRola, Philippe
dc.contributor.authorRosen, Michael
dc.contributor.authorShrestha, Gentle S.
dc.contributor.authorSugrue, Michael
dc.contributor.authorVelez, Juan Carlos Q.
dc.contributor.authorWald, Ron
dc.contributor.authorDe Waele, Jan
dc.contributor.authorReintam Blaser, Annika
dc.contributor.authorMalbrain, Manu L. N. G.
dc.date.accessioned2024-12-01T01:05:26Z
dc.date.available2024-12-01T01:05:26Z
dc.date.issued2024-11-29
dc.date.updated2024-12-01T01:05:26Z
dc.description.abstractAbstract 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.
dc.identifier.citationWorld Journal of Emergency Surgery. 2024 Nov 29;19(1):39
dc.identifier.urihttps://doi.org/10.1186/s13017-024-00564-5
dc.identifier.urihttps://hdl.handle.net/1880/120142
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleInternational cross-sectional survey on current and updated definitions of intra-abdominal hypertension and abdominal compartment syndrome
dc.typeJournal Article
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