Evidence map›Paper›PMID 39609850›Full record

ArticleWorld journal of emergency surgery : WJES2024

International cross-sectional survey on current and updated definitions of intra-abdominal hypertension and abdominal compartment syndrome.

Prashant Nasa, Robert D Wise, Marije Smit, Stefan Acosta, Scott D'Amours, William Beaubien-Souligny, Zsolt Bodnar, Federico Coccolini, Neha S Dangayach, Wojciech Dabrowski and 31 more

Registry-linked trialAbstract read
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In one paragraph

Article in World journal of emergency surgery : WJES, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07563842 (Expert Consensus On Definitions And Management Of Intra-Abdominal Hypertension And Abdominal Compartment Syndrome), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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.

NCT07563842 enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Expert Consensus On Definitions And Management Of Intra-Abdominal Hypertension And Abdominal Compartment Syndrome

Typeobservational_patient_registrySponsorMedical University of LublinRan2025 to 2026Enrolled60ConditionsAbdominal Hypertension, Abdominal Compartment SyndromeArmsDelphi study
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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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

41 authors.

Prashant Nasa *Department of Anaesthesia and Critical Care Medicine, The Royal Wolverhampton NHS Trust, New Cross Hospital, Wolverhampton, WV10 0QP, UK. dr.prashantnasa@hotmail.com.
Robert D Wise *Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), 1050, Brussels, Belgium.
Marije SmitDepartment of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Stefan AcostaDepartment of Clinical Sciences, Malmö, Lund University, Malmö, Sweden.
Scott D'AmoursTrauma and Acute Care Surgery Unit, Liverpool Hospital, Sydney, Australia.
William Beaubien-SoulignyDepartment of Medicine, Nephrology Division, Centre Hospitalier de L'Université de Montréal, Université de Montréal, Montreal, Canada.
Zsolt BodnarDepartment of Surgery, Letterkenny University Hospital, Donegal, Ireland.
Federico CoccoliniGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
Neha S DangayachDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Wojciech DabrowskiFirst Department of Anesthesiology and Intensive Therapy, Medical University of Lublin, Lublin, Poland.
Juan DuchesneDivision Chief Trauma/Acute Care and Critical Care Department of Surgery, Tulane University, New Orleans, LA, USA.
Janeth C EjikeDepartment of Pediatrics, Downey Medical Center, Southern California Permanente Medical Group, 9333 Imperial Highway, Downey, CA, 90242, USA.
Goran AugustinDepartment of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
Bart De KeulenaerDepartment of Intensive Care, Fiona Stanley Hospital, Murdoch, Australia.
Andrew W KirkpatrickDepartment of Surgery and Critical Care Medicine, Regional Trauma Services Foothills Medical Centre, Calgary, AB, T2N 2T9, Canada.
Ashish K KhannaDepartment of Anesthesiology, Section On Critical Care Medicine, Wake Forest School of Medicine, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Edward KimballDepartment of Surgery, University of Utah, 50 N Medical Drive, Salt Lake City, UT, USA.
Abhilash KoratalaDivision of Nephrology Froedtert & Medical College of Wisconsin, Milwaukee, WI, USA.
Rosemary K LeeBaptist Health South Florida, Coral Gables, Florida, USA.
Ari LeppaniemiDepartment of Abdominal Surgery, Meilahti Hospital, University of Helsinki, Haartmaninkatu 4, PO Box 340, 00029, Helsinki, Finland.
Edgar V LermaDepartment of Medicine, Advocate Christ Medical Center, University of Illinois at Chicago, Oak Lawn, IL, USA.
Valerie MarmolejoDPM, MS, Medical Writer, Scriptum Medica, Washington, USA.
Alejando Meraz-MunozDivision of Nephrology, St. Boniface Hospital and The University of Manitoba, Winnipeg, MB, Canada.
Sheila N MyatraDepartment of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India.
Daniel NivenDepartments of Critical Care Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Claudia OlveraThe American British Cowdray Medical Center, Universidad Anahuac, Mexico City, Mexico.
Carlos OrdoñezDivision of Trauma and Acute Care Surgery, Department of Surgery, Fundación Valle del Lili, Cra 98 No. 18-49, 760032, Cali, Colombia.
Clayton PetroDepartment of General Surgery, Center for Abdominal Core Health, Cleveland Clinic, Cleveland, OH, USA.
Bruno M PereiraUniversity of Vassouras, Rio de Janeiro, Brazil.
Claudio RoncoDepartment of Nephrology and the International Renal Research Institute (IRRIV), San Bortolo Hospital, Vicenza, Italy.
Adrian RegliDepartment of Intensive Care, Fiona Stanley Hospital, Perth, WA, Australia.
Derek J RobertsDepartments of Surgery and Community Health Sciences, University of Calgary, Calgary, AB, T2N 5A1, Canada.
Philippe RolaIntensive Care, Santa Cabrini Hospital, Montreal, QC, Canada.
Michael RosenDepartment of General Surgery, Center for Abdominal Core Health, Cleveland Clinic, Cleveland, OH, USA.
Gentle S ShresthaDepartment of Critical Care Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Michael SugrueLetterkenny University Hospital, Donegal, Ireland.
Juan Carlos Q VelezOchsner Medical Center, New Orleans, LA, USA.
Ron WaldDivision of Nephrology, Department of Medicine, St. Michael's Hospital, Toronto, Canada.
Jan De WaeleDepartment of Intensive Care Medicine, Ghent University Hospital, Ghent, Belgium.
Annika Reintam Blaser *Clinic of Anesthesiology and Intensive Care, University of Tartu, Puusepa 8, 51014, Tartu, Estonia.
Manu L N G Malbrain *First Department of Anesthesiology and Intensive Therapy, Medical University of Lublin, Lublin, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Abdominal Compartment Society (WSACS) established consensus definitions and recommendations for the management of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in 2006, and they were last updated in 2013. The WSACS conducted an international survey between 2022 and 2023 to seek the agreement of healthcare practitioners (HCPs) worldwide on current and new candidate statements that may be used for future guidelines.

methodsA self-administered, online cross-sectional survey was conducted under the auspices of the WSACS to assess the level of agreement among HCPs over current and new candidate statements. The survey, distributed electronically worldwide, collected agreement or disagreement with statements on the measurement of intra-abdominal pressure (IAP), pathophysiology, definitions, and management of IAH/ACS. Statistical analysis assessed agreement levels, expressed in percentages, on statements among respondents, and comparisons between groups were performed according to the respondent's education status, base specialty, duration of work experience, role (intensivist vs non-intensivist) and involvement in previous guidelines. Agreement was considered to be reached when 80% or more of the respondents agreed with a particular statement.

resultsA total of 1042 respondents from 102 countries, predominantly physicians (73%), of whom 48% were intensivists, participated. Only 59% of HCPs were aware of the 2013 WSACS guidelines, and 41% incorporated them into practice. Despite agreement in most statements, significant variability existed. Notably, agreement was not reached on four new candidate statements: "normal intra-abdominal pressure (IAP) is 10 mmHg in critically ill adults" (77%), "clinical assessment and estimation of IAP is inaccurate" (65.2%), "intragastric can be an alternative to the intravesical route for IAP measurement" (70.4%), and "measurement of IAP should be repeated in the resting position after measurement in a supine position" (71.9%). The survey elucidated nuances in clinical practice and highlighted areas for further education and standardization.

conclusionMore than ten years after the last published guidelines, this worldwide cross-sectional survey collected feedback and evaluated the level of agreement with current recommendations and new candidate statements. This will inform the consensus process for future guideline development.

Indexed as

Intra-Abdominal HypertensionCross-Sectional StudiesFemaleHumansInternationalityMaleSurveys and QuestionnairesAbdominal compartment syndromeAbdominal hypertensionAbdominal pressureDefinitionsManagementPathophysiologySurvey

Identifiers

PMID39609850
PMCPMC11605967

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Registered trials

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.