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Date Published: 23/06/2025
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DOI: https://doi.org/10.51298/vmj.v551i1.14505
Issue
Vol. 551 No. 1 (2025)
Section
Các bài báo
How to Cite
Hứa Thanh, T., Trần Viết, A., & Dương Thiện, P. (2025). THE INCIDENCE AND RISK FACTORS OF INTRA-ABDOMINAL PRESSURE IN PATIENTS WITH SEPTIC SHOCK AT CAN THO CENTRAL GENERAL. Vietnam Medical Journal, 551(1). https://doi.org/10.51298/vmj.v551i1.14505

THE INCIDENCE AND RISK FACTORS OF INTRA-ABDOMINAL PRESSURE IN PATIENTS WITH SEPTIC SHOCK AT CAN THO CENTRAL GENERAL

Tân Hứa Thanh, An Trần Viết, Phước Dương Thiện

Main Article Content

Abstract

Background: Increased intra-abdominal pressure (IAP) is a common manifestation in patients with severe conditions, including septic shock, contributing to an increased mortality rate. Evaluating risk factors for increased IAP helps in early management and provides prognostic information on the severity of septic shock. Objectives: To determine the incidence and analyze the risk factors of increased IAP in septic shock patients. Materials and methods: This was a cross-sectional descriptive study with analysis conducted on 60 septic shock patients treated at Can Tho Central General Hospital from September 2024 to March 2025. Results: Regarding general characteristics, the male/female ratio was approximately 1.14, with a mean age of 59.25 ± 17.02, and the majority were in the age group of 50 years and older (70%). The average BMI was 22.5 ± 3.96. The most common underlying condition was cardiovascular disease (48.3%). The mean IAP showed relatively stable readings across measurements (p > 0.05). The incidence of increased IAP was 56.7%. Obesity increased the risk of increased IAP, with an OR of 1.41 for each additional 1 kg/m² (95% CI: 1.11-1.79), p = 0.005. Alcohol consumption was also a factor associated with increased IAP, with an OR of 4.54 (95% CI: 1.08-19.04), p = 0.039. For every increase of 1 point in the SOFA score, the OR of increased IAP was 1.37 times higher (95% CI: 1.02-1.82). Conclusion: Increased intraabdominal pressure is frequently observed in septic shock patients. Obesity, alcohol consumption, and SOFA score significantly increase the risk of elevated intraabdominal pressure in septic shock patients.

Article Details

Keywords

Intra-abdominal pressure (IAP), risk factors, septic shock

References

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