Understanding of Abdominal Compartment Syndrome among Pediatric Healthcare Providers
J Chiaka Ejike1, Jennifer Newcombe, Joanne Baerg
1Department of Pediatrics, Division of Pediatric Critical Care, School of Medicine, Loma Linda University, 11175 Campus Street, Suite A1117, Coleman Pavilion, Loma Linda, CA 92354, USA.
Insights
Pediatric healthcare providers show low awareness of abdominal compartment syndrome (ACS). Many lack correct knowledge of its definition and intraabdominal pressure (IAP) measurement, highlighting a need for education.
Area of Science:
- Pediatric Critical Care Medicine
- Surgical Critical Care
Background:
- Abdominal compartment syndrome (ACS) is underreported in pediatric literature, suggesting potential gaps in healthcare provider (HCP) awareness.
- Limited recognition may hinder timely diagnosis and management of ACS in critically ill children.
Purpose of the Study:
- To evaluate awareness and knowledge of abdominal compartment syndrome (ACS) among pediatric healthcare providers (HCP).
- To assess understanding of the definition and intraabdominal pressure (IAP) measurement techniques for ACS.
Main Methods:
- A survey was administered to 1107 participants at two pediatric critical care conferences.
- The survey assessed awareness, definition accuracy, and IAP measurement practices related to ACS.
Main Results:
- Only 46.8% of respondents correctly defined ACS, and 23% were unaware of it.
- Awareness of ACS was 77%, but knowledge regarding its definition and IAP measurement thresholds was variable.
- A significant portion (approximately 24%) reported never having measured intraabdominal pressure (IAP).
Conclusions:
- A substantial number of pediatric HCP lack awareness and accurate knowledge of ACS.
- Variability in defining ACS and measuring IAP necessitates targeted educational interventions.
- Promoting education on ACS recognition and IAP measurement is crucial for improving pediatric critical care.
Abstract:
Background. The sparse reporting of abdominal compartment syndrome (ACS) in the pediatric literature may reflect inadequate awareness and recognition among pediatric healthcare providers (HCP). Purpose. To assess awareness of ACS, knowledge of the definition and intraabdominal pressure (IAP) measurement techniques used among pediatric HCP. Method. A written survey distributed at two pediatric critical care conferences. Results. Forty-seven percent of 1107 questionnaires were completed. Participants included pediatric intensivists, pediatric nurses, and others. Seventy-seven percent (n = 513) of participants had heard of ACS. Only 46.8% defined ACS correctly. The threshold IAP value used to define ACS was variable among participants. About one-quarter of participants (83/343), had never measured IAP. Conclusion. Twenty-three percent of HCP surveyed were unaware of ACS. Criteria used to define ACS were variable. Focused education on recognition of ACS and measuring IAP should be promoted among pediatric HCP.
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