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.

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