Evidence map›Paper›PMID 38863287›Full record

ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2024

Comparison of the Kron technique and digital manometry for measuring intra-abdominal pressure in emergency department patients diagnosed with ileus.

Merve Unutmaz, Çağdaş Yıldırım, Mehmet Emin Unutmaz, Gül Pamukçu Günaydın, Alp Şener, Şervan Gökhan

Abstract readComparative Study
In one paragraph

Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Merve UnutmazDepartment of Emergency Medicine, Ankara Bilkent City Hospital, Ankara-Türkiye.
Çağdaş YıldırımDepartment of Emergency Medicine, Ankara Yıldırım Beyazıt University, School of Medicine, Ankara-Türkiye.
Mehmet Emin UnutmazDepartment of Oncologic Surgery, Ankara Etlik City Hospital, Ankara-Türkiye.
Gül Pamukçu GünaydınDepartment of Emergency Medicine, Ankara Yıldırım Beyazıt University, School of Medicine, Ankara-Türkiye.
Alp ŞenerDepartment of Emergency Medicine, Ankara Yıldırım Beyazıt University, School of Medicine, Ankara-Türkiye.
Şervan GökhanDepartment of Emergency Medicine, Ankara Yıldırım Beyazıt University, School of Medicine, Ankara-Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNumerous measurement techniques for intra-abdominal pressure have been explored, with the Kron Technique established as the gold standard. Despite its prominence, the search for alternative methods persists due to its lengthy application time, the requirement for additional equipment, and overall impracticality. This study investigated a quicker, more accessible method for effective intra-abdominal pressure measurement in the emergency department. It aimed to compare intra-abdominal pressure measurements in patients diagnosed with ileus using a digital manometer and the Kron Technique.

methodsConducted from October 2022 to February 2023, this single-center, prospective, single-blind method comparison study involved patients diagnosed with ileus at a tertiary emergency department. Intra-abdominal pressure was measured using both the Kron Technique and a digital manometer by separate practitioners blinded to the study results.

resultsThe study included 30 patients. No statistically significant difference was observed in the intra-abdominal pressure measurements between the two methods (p<0.237). A very strong correlation existed between the two methods (Spearman's Rho = 0.998). Bland-Altman analysis showed a bias value of 0.091 mmHg for the digital manometer, with upper and lower agreement limits of -0.825 and 1.007 mmHg, respectively. The measurement time was significantly shorter with the digital manometer than with the Kron Technique (15 vs. 390.5 seconds; p<0.001).

conclusionWe believe that the intra-abdominal pressure measurement technique using a digital manometer is a method that can be effectively employed by healthcare professionals in emergency departments. This technique offers ease of use, requires minimal equipment, provides rapid results, and delivers reliable measurement values compared to the Kron Technique.

Indexed as

Emergency Service, HospitalIleusManometryPressureAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedProspective StudiesSingle-Blind Method

Identifiers

PMID38863287
PMCPMC11230050

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