Table 1.
Characteristics of observational trials included in the meta-analysis
Study | Country | Men/Patients (n/n) | BMI (kg/m2) | Mean age (yrs) | Baseline comorbidities and ward/room | Mean IAP | How and when IAP was measured | IAH definition | Concomitant treatment | Outcome | Outcome definition |
---|---|---|---|---|---|---|---|---|---|---|---|
Talizin et al.18, 2017 | Brazil | 33/46 | NR | 41 | Burns; in an ICU room | 15.0 mmHg | Measurement was within 3 hours of admission; the AbViser measurement system was used. | ≥12 mm Hg | Vasopressors, mechanical ventilation, glycopeptides, polymyxin | AKI | KDIGO (2012) |
Ruiz-Castilla et al.7, 2014 | Spain | 21/25 | 24.5 | 42 | Cancer, hypertension, ischemic cardiopathy; in the Burns Unit | 13 mmHg | Measurement was every 6 hours during the 5-day study period; a closed measurement system (Abdo-Pressure™, ConvatecSL, Espana) was used. | ≥12 mm Hg | Mechanical ventilation, crystalloids | Renal failure | Plasma creatinine >1.5 mg/dL during first 5 days of admission |
Dalfino et al.19, 2008 | Turkey | 78/123 | NR | 62 | Chronic cardiovascular disease, chronic respiratory disease, chronic renal disease, chronic liver disease; in a mixed ICU room. | 12 mmHg | Measurements were performed on admission and at least every 24 hours; a Foley bladder catheter was used. | ≥12 mm Hg | Diuretics. CRRT, crystalloids | RIFLE | ADQI (2004) |
Mazzeffi et al.1, 2016 | USA | 29/42 | 29.1 ± 5.2 | 61 | Chronic lung disease, peripheral vascular disease, cerebrovascular disease; in the general ward | NR | Measurements were prior to surgery; immediately after surgery in the operating room; and 3, 6, 12, and 24 hours after surgery; bladder pressure was used. | ≥12 mm Hg | NR | RIFLE | ADQI (2004) |
Demarchi et al.17, 2014 | USA | 35/60 | 26 ± 5.0 | 59 | NR; in an ICU room | NR | Measurements were at admission to the ICU; bladder pressure was used. | ≥12 mm Hg | NR | AKI | KDIGO (2012) |
Tyagi et al.14, 2018 | India | 0/48 | 22.2 ± 3 | 25 | NR; in an ICU room | NR | Measurements were twice daily; a Foley bladder catheter was used. | ≥12 mm Hg | NR | AKI | KDIGO (2012) |
BMI, body mass index; IAP, IAH, intra-abdominal hypertension; ICU, intensive care unit; AKI, acute kidney injury; NR, not reported; KDIGO, Kidney Disease Improving Global Outcomes; ADQI, Acute Dialysis Quality Initiative; RIFLE, Risk, Injury, Failure, Loss of Kidney Function, and End-stage Kidney Disease.