American Journal of Life Sciences

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The Effect of the Rising Abdominal Perfusion Pressure on Kidney Function Assessed by the RIFLE Criteria in Critically Ill Patients with Multiorgan Dysfunction

Received: 21 October 2014    Accepted: 04 November 2014    Published: 17 November 2014
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Abstract

Abdominal perfusion pressure (APP) is a novel, clinically measurable parameter to explain the circulatory compromise in the abdominal cavity, defined as the difference between the mean arterial pressure (MAP) and the intrabdominal pressure (IAP). Kidneys are especially vulnerable intrabdominal organ to the circulatory compromise and the third spacing in multiorgan dysfunction syndrome (MODS) patients. And this study was to evaluate the relationship of the APP to AKI assessed by RIFLE Patients and methods: 106 MODS patients were included in the study, routine laboratory investigations and vital signs were recorded and APP and RIFLE score were assessed daily for the first three days. Results: AKI patients had lower APP (86.3 ± 9.0 vs 78.4 ± 18.5 P 0.009). Patients with APP < 60mmHg showed worse RIFLE scores (0=0/18, R=1/6, I=2/27, F=13/39 p=0.03). APP was significantly correlated with urine output (r=0.239 P 0.013). Conclusion Low APP causes deterioration of kidney function and oliguria is the first and sensitive predictor.

DOI 10.11648/j.ajls.20140206.11
Published in American Journal of Life Sciences (Volume 2, Issue 6, December 2014)
Page(s) 333-337
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

RIFLE, Abdominal Perfusion Pressure

References
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Author Information
  • Critical Care Department Cairo University, Cairo, Egypt

  • Critical Care Department Cairo University, Cairo, Egypt

  • Critical Care Department Theodor Bilhars research institute, Giza, Egypt

  • Critical Care Department Cairo University, Cairo, Egypt

  • Critical Care Department Theodor Bilhars research institute, Giza, Egypt

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    Hatem H. Elatroush, Nashwa Abed, Amna A. Metwaly, Mohamed I. Afify, Mayada M. Hussien. (2014). The Effect of the Rising Abdominal Perfusion Pressure on Kidney Function Assessed by the RIFLE Criteria in Critically Ill Patients with Multiorgan Dysfunction. American Journal of Life Sciences, 2(6), 333-337. https://doi.org/10.11648/j.ajls.20140206.11

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    ACS Style

    Hatem H. Elatroush; Nashwa Abed; Amna A. Metwaly; Mohamed I. Afify; Mayada M. Hussien. The Effect of the Rising Abdominal Perfusion Pressure on Kidney Function Assessed by the RIFLE Criteria in Critically Ill Patients with Multiorgan Dysfunction. Am. J. Life Sci. 2014, 2(6), 333-337. doi: 10.11648/j.ajls.20140206.11

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    AMA Style

    Hatem H. Elatroush, Nashwa Abed, Amna A. Metwaly, Mohamed I. Afify, Mayada M. Hussien. The Effect of the Rising Abdominal Perfusion Pressure on Kidney Function Assessed by the RIFLE Criteria in Critically Ill Patients with Multiorgan Dysfunction. Am J Life Sci. 2014;2(6):333-337. doi: 10.11648/j.ajls.20140206.11

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  • @article{10.11648/j.ajls.20140206.11,
      author = {Hatem H. Elatroush and Nashwa Abed and Amna A. Metwaly and Mohamed I. Afify and Mayada M. Hussien},
      title = {The Effect of the Rising Abdominal Perfusion Pressure on Kidney Function Assessed by the RIFLE Criteria in Critically Ill Patients with Multiorgan Dysfunction},
      journal = {American Journal of Life Sciences},
      volume = {2},
      number = {6},
      pages = {333-337},
      doi = {10.11648/j.ajls.20140206.11},
      url = {https://doi.org/10.11648/j.ajls.20140206.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajls.20140206.11},
      abstract = {Abdominal perfusion pressure (APP) is a novel, clinically measurable parameter to explain the circulatory compromise in the abdominal cavity, defined as the difference between the mean arterial pressure (MAP) and the intrabdominal pressure (IAP). Kidneys are especially vulnerable intrabdominal organ to the circulatory compromise and the third spacing in multiorgan dysfunction syndrome (MODS) patients. And this study was to evaluate the relationship of the APP to AKI assessed by RIFLE Patients and methods: 106 MODS patients were included in the study, routine laboratory investigations and vital signs were recorded and APP and RIFLE score were assessed daily for the first three days. Results: AKI patients had lower APP (86.3 ± 9.0 vs 78.4 ± 18.5 P 0.009). Patients with APP < 60mmHg showed worse RIFLE scores (0=0/18, R=1/6, I=2/27, F=13/39 p=0.03). APP was significantly correlated with urine output (r=0.239 P 0.013). Conclusion Low APP causes deterioration of kidney function and oliguria is the first and sensitive predictor.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - The Effect of the Rising Abdominal Perfusion Pressure on Kidney Function Assessed by the RIFLE Criteria in Critically Ill Patients with Multiorgan Dysfunction
    AU  - Hatem H. Elatroush
    AU  - Nashwa Abed
    AU  - Amna A. Metwaly
    AU  - Mohamed I. Afify
    AU  - Mayada M. Hussien
    Y1  - 2014/11/17
    PY  - 2014
    N1  - https://doi.org/10.11648/j.ajls.20140206.11
    DO  - 10.11648/j.ajls.20140206.11
    T2  - American Journal of Life Sciences
    JF  - American Journal of Life Sciences
    JO  - American Journal of Life Sciences
    SP  - 333
    EP  - 337
    PB  - Science Publishing Group
    SN  - 2328-5737
    UR  - https://doi.org/10.11648/j.ajls.20140206.11
    AB  - Abdominal perfusion pressure (APP) is a novel, clinically measurable parameter to explain the circulatory compromise in the abdominal cavity, defined as the difference between the mean arterial pressure (MAP) and the intrabdominal pressure (IAP). Kidneys are especially vulnerable intrabdominal organ to the circulatory compromise and the third spacing in multiorgan dysfunction syndrome (MODS) patients. And this study was to evaluate the relationship of the APP to AKI assessed by RIFLE Patients and methods: 106 MODS patients were included in the study, routine laboratory investigations and vital signs were recorded and APP and RIFLE score were assessed daily for the first three days. Results: AKI patients had lower APP (86.3 ± 9.0 vs 78.4 ± 18.5 P 0.009). Patients with APP < 60mmHg showed worse RIFLE scores (0=0/18, R=1/6, I=2/27, F=13/39 p=0.03). APP was significantly correlated with urine output (r=0.239 P 0.013). Conclusion Low APP causes deterioration of kidney function and oliguria is the first and sensitive predictor.
    VL  - 2
    IS  - 6
    ER  - 

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