کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
5718252 1411245 2017 4 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله
Clinical PaperOutcomes in pediatric patients with abdominal compartment syndrome following urgent exploratory laparotomy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Clinical PaperOutcomes in pediatric patients with abdominal compartment syndrome following urgent exploratory laparotomy
چکیده انگلیسی

Background/purposeAbdominal compartment syndrome (ACS) is a serious condition with high mortality in critically ill children. Our objectives were to characterize the incidence of ACS in pediatric patients who underwent urgent exploratory laparotomy and to compare outcomes of patients with and without ACS.MethodsThis retrospective review examined pediatric patients (0-18 years) who underwent urgent exploratory laparotomy over a 2-year period. Primary outcome was mortality; secondary outcomes were achievement of primary fascial closure and necessity of bowel resection.ResultsOne hundred nineteen patients were included, of which 33 (28%) had ACS, with 27 (23%) being primary ACS and 6 (5%) secondary ACS. Twenty-eight-day mortality was higher in the ACS versus non-ACS group (52% versus 0%, p < 0.001) and overall hospitalization (64% versus 2%, p < 0.001). Primary fascial closure was achieved less often in ACS compared to non-ACS patients (46% versus 98%, p < 0.001). Bowel resection was more frequent in ACS versus non-ACS patients, approaching statistical significance (49% versus 30%, p 0.056).ConclusionDuring the study period, almost one third of children who underwent urgent exploratory laparotomy had ACS and 64% died. Children undergoing evaluation for acute surgical abdomen may benefit from routine intraabdominal pressure measurement.Level of evidenceLevel III retrospective comparative study

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 52, Issue 7, July 2017, Pages 1144-1147
نویسندگان
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