Evidence map›Paper›PMID 22873424›Full record

ArticleAnnals of intensive care2012

Recognition and management of abdominal compartment syndrome among German pediatric intensivists: results of a national survey.

Torsten Kaussen, Gerd Steinau, Pramod Kadaba Srinivasan, Jens Otto, Michael Sasse, Franz Staudt, Alexander Schachtrupp

Open access · goldAbstract read
In one paragraph

Article in Annals of intensive care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 55 citations in OpenAlex.

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  15. Recognition and management of intra-abdominal hypertension and abdominal compartment syndrome; a survey among Dutch surgeons.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Torsten KaussenDepartment of Neonatology and Pediatric Intensive Care, Children's Hospital Dritter Orden, Bischof-Altmann-Str, 9, 94032 Passau, Germany. Kaussen.Torsten@mh-hannover.de.
Gerd Steinau
Pramod Kadaba Srinivasan
Jens Otto
Michael Sasse
Franz Staudt
Alexander Schachtrupp
RWTH Aachen University · DEKlinikum Passau · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeveral decades ago, the beneficial effects of goal-directed therapy, which include decompressive laparotomy (DL) and open abdomen procedures in cases of intra-abdominal hypertension (IAH) in children, were proven in the context of closures of abdominal wall defects and large-for-size organ transplantations. Different neonatologic and pediatric disease patterns are also known to be capable of increasing intra-abdominal pressure (IAP). Nevertheless, a considerable knowledge transfer regarding such risk factors has hardly taken place. When left undetected and untreated, IAH threatens to evolve into abdominal compartment syndrome (ACS), which is accompanied by a mortality rate of up to 60% in children. Therefore, the present study looks at the recognition and knowledge of IAH/ACS among German pediatric intensivists.

methodsIn June 2010, a questionnaire was mailed to the heads of pediatric intensive care units of 205 German pediatric hospitals.

resultsThe response rate was 62%. At least one case of IAH was reported by 36% of respondents; at least one case of ACS, by 25%. Compared with adolescents, younger critically ill children appeared to develop IAH/ACS more often. Routine measurements of IAP were said to be performed by 20% of respondents. Bladder pressure was used most frequently (96%) to assess IAP. Some respondents (17%) only measured IAP in cases of organ dysfunction and failure. In 2009, the year preceding this study, 21% of respondents claimed to have performed a DL. Surgical decompression was indicated if signs of organ dysfunction were present. This was also done in cases of at least grade III IAH (IAP > 15 mmHg) without organ impairment.

conclusionsAlthough awareness among pediatricians appears to have been increasing over the last decade, definitions and guidelines regarding the diagnosis and management of IAH/ACS are not applied uniformly. This variability could express an ever present lack of awareness and solid prospective data.

Identifiers

PMID22873424
PMCPMC3390295
OpenAlexW2155663271

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.