Predictive Factors of Abdominal Compartment Syndrome in Neonatal Age

Fortunato Siracusa, Ettore Piro, Giovanni Corsello, Mario Giuffre, Giovanni Corsello, Giuseppa Pinello, Rita Ortolano, Ingrid Anne Mandy Schierz, Fortunato Siracusa, Simona La Placa, Ettore Piro, Mario Giuffrè

Risultato della ricerca: Articlepeer review

25 Citazioni (Scopus)


In the pediatric population, abdominal compartment syndrome (ACS) is a known complication of abdominal wall defect repair. However, there are only few reports on ACS in newborns and only a proposal of critical intra-abdominal pressure value (IAP) in term newborns, absent in preterm newborns. Although the prevalent clinical sign is tense abdominal distension, it may be difficult to distinguish ACS from pathologies that will not require decompression. The purpose of this study was to identify predictors for ACS and therefore morbidity or mortality indicators. We reviewed newborns presenting with tense abdominal distension and end organ failure. Anamnestic, clinical, laboratory, and instrumental investigations were analyzed to extrapolate predictors. Outcomes were compared with a control group. The incidence of ACS in our neonatal intensive care unit was 5% in the overall population of babies, 16% in tracheal-ventilated newborns, and 57% in infants with abdominal wall defects. We found that, with onset of acidosis or high gastric residuals, the lactate values will be predictive for mortality. We can also suggest paying particular attention to high lactate values just at the onset of distension, in infants with more advanced gestational age, with previously surgical repair, to determine early surgical intervention independently of a specific IAP measurement.
Lingua originaleEnglish
pagine (da-a)49-54
Numero di pagine6
RivistaAmerican Journal of Perinatology
Stato di pubblicazionePublished - 2014

All Science Journal Classification (ASJC) codes

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