Qutob Rayan, Alkhannani Alanoud Hassan A, Alassaf Turki Yazeed, Alhokail Saad Othman, Bagazi Ghassan Abdullah, Alsaleh Abdulmalak Abdullah, Alqarni Mashael Kamel, Alammari Yousef, Al Harbi Khalid, Elhazmi Alyaa, Bukhari Abdullah Ibrahim, Alaryni Abdullah, Alghamdi Abdullah, Hakami Osamah A
Faculty of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Adult Critical Care Department, Dr. Sulaiman Al-Habib Medical Group, Riyadh, Saudi Arabia.
Int J Gen Med. 2022 Dec 7;15:8509-8526. doi: 10.2147/IJGM.S393300. eCollection 2022.
To determine physicians' knowledge of abdominal compartment syndrome and intra-abdominal hypertension in Saudi Arabia.
A cross-sectional online survey study was conducted on physicians in Saudi Arabia between March and August 2022. A previously developed questionnaire was adapted and used in this study. The survey instrument investigated the knowledge and management of intra-abdominal hypertension and abdominal compartment syndrome among physicians. Logistic regression was used to identify predictors of being knowledgeable about abdominal compartment syndrome and intra-abdominal hypertension.
A total of 266 physicians participated in this study. Around one-fifth (21.8%) the study participants were ICU physicians and 25.0% reported that they practice internal medicine. Intra-abdominal hypertension (IAH) and the impact of increased intra-abdominal pressure (IAP) on organ function were terms that the majority of research participants (70.3%) reported they were familiar with. A similar percentage (73.7%) reported that they are familiar with abdominal compartment syndrome (ACS). Around 43.0% of the study participants reported that they do not know how to measure IAP. The most frequently reported (13.5%) intervention in the treatment of IAH and ACS was the use of inotropes or vasopressors. The study participants showed a weak level of knowledge of ACS and IAH with a median score of 3.00 (IQR: 5.00-2.00), which represents 27.3% of the maximum attainable score. Physicians working at hospitals with 20-50 ICU beds were 41.0% (odds ratio: 0.59 (CI: 0.37-0.96)) less likely to be knowledgeable about intra-abdominal hypertension and abdominal compartment syndrome (p≤0.05).
Physicians demonstrated a low level of IAP and ACS knowledge. To increase the safety of medical practices and enhance clinical outcomes for patients, awareness should be raised about the proper diagnosis and management of IAP and ACS. Future research should focus on developing effective educational strategies to improve physicians' understanding of IAP and ACS.
确定沙特阿拉伯医生对腹腔间隔室综合征和腹内高压的了解程度。
2022年3月至8月对沙特阿拉伯的医生进行了一项横断面在线调查研究。本研究采用了之前开发的问卷并进行了改编。该调查工具调查了医生对腹内高压和腹腔间隔室综合征的了解及管理情况。采用逻辑回归分析来确定对腹腔间隔室综合征和腹内高压有了解的预测因素。
共有266名医生参与了本研究。约五分之一（21.8%）的研究参与者为重症监护病房（ICU）医生，25.0%的人报告他们从事内科工作。大多数研究参与者（70.3%）报告称他们熟悉腹内高压（IAH）以及腹内压（IAP）升高对器官功能的影响。相似比例（73.7%）的人报告称他们熟悉腹腔间隔室综合征（ACS）。约43.0%的研究参与者报告他们不知道如何测量腹内压。在治疗IAH和ACS时最常报告的干预措施（13.5%）是使用血管活性药物或血管加压药。研究参与者对ACS和IAH的了解程度较低，中位数得分为3.00（四分位间距：5.00 - 2.00），占可获得最高分的27.3%。在拥有20 - 50张ICU床位的医院工作的医生对腹内高压和腹腔间隔室综合征有了解的可能性要低41.0%（比值比：0.59（置信区间：0.37 - 0.96））（p≤0.05）。
医生对腹内压和腹腔间隔室综合征的了解程度较低。为提高医疗实践的安全性并改善患者的临床结局，应提高对腹内压和腹腔间隔室综合征正确诊断及管理的认识。未来的研究应侧重于制定有效的教育策略，以提高医生对腹内压和腹腔间隔室综合征的理解。
