title: Relationship between Sequential Organ Failure Assessment (SOFA) and intra-abdominal pressure in intensive care unit.
abstract: BACKGROUND
  Patients in the intensive care unit are at risk of developing intra-abdominal hypertension and abdominal compartment syndrome.
  
  
  OBJECTIVE
  To describe the relation between Sequential Organ Failure Assessment (SOFA) vs. intra-abdominal pressure and the relation between SOFA and risk factors for intra-abdominal hypertension.
  
  
  METHODS
  In accordance with the recommendations of the World Society of the Abdominal Compartment Syndrome, the present study measured the intra-abdominal pressure of patients 24 h and 48 h after admission to the unit and calculated the SOFA after 24 h and 48 h. Data was collected over two-month period.
  
  
  RESULTS
  No correlation was found between SOFA and intra-abdominal pressure. Seventy percent of the patients were men and the mean age was 44 years, 10% had been referred from general surgery (with a mean intra-abdominal pressure of 11) and 65% from neurosurgery (with a mean intra-abdominal of 6.7). Only three (7.5%) presented with intra-abdominal hypertension. The highest SOFA was 15 and the most frequent kind of organ failure was neurological, with a frequency of 77%. There was a strong correlation between the SOFA after 24 h and 48 h and peak respiratory pressure (ρ=0.43/p=0.01; ρ=0.39/p=0.02).
  
  
  CONCLUSIONS
  No correlation was found between SOFA and intra-abdominal pressure in the patients covered by the present study. However, it is possible in patients undergoing abdominal surgery or those with abdominal sepsis. Não houve correlação entre o SOFA e a pressão intra-abdominal nos pacientes aqui estudados; contudo, sinalizou ser possível em pacientes com operação abdominal ou naqueles com sepse abdominal.
authors: Hospital da Restauração, Recife, PE, Brasil.
authors: Gustavo Rocha Costa
authors: GR
authors: de Freitas
authors: Hospital da Restauração, Recife, PE, Brasil.
authors: Olival Cirilo Lucena
authors: OC
authors: da Fonseca-Neto
authors: Hospital da Restauração, Recife, PE, Brasil.
authors: Carla Larissa Fernandes
authors: CL
authors: Pinheiro
authors: Hospital da Restauração, Recife, PE, Brasil.
authors: Luiz Clêiner
authors: LC
authors: Araújo
authors: Hospital da Restauração, Recife, PE, Brasil.
authors: Roberto Esmeraldo Nogueira
authors: RE
authors: Barbosa
authors: Hospital da Restauração, Recife, PE, Brasil.
authors: Pedro
authors: P
authors: Alves
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D059325:Intra-Abdominal Hypertension / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D063305:Organ Dysfunction Scores; D012307:Risk Factors; D055815:Young Adult
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