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.
| Published in | American Journal of Life Sciences (Volume 2, Issue 6) |
| DOI | 10.11648/j.ajls.20140206.11 |
| 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), 2014. Published by Science Publishing Group |
RIFLE, Abdominal Perfusion Pressure
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APA Style
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
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
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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Download@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://article.sciencepublishinggroup.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}
}
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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