The Abdominal Compartment Society (WSACS) established consensus definitions and recommendations for the management of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in 2006, and they were last updated in 2013. The WSACS conducted an international survey between 2022 and 2023 to seek the agreement of healthcare practitioners (HCPs) worldwide on current and new candidate statements that may be used for future guidelines. A self-administered, online cross-sectional survey was conducted under the auspices of the WSACS to assess the level of agreement among HCPs over current and new candidate statements. The survey, distributed electronically worldwide, collected agreement or disagreement with statements on the measurement of intra-abdominal pressure (IAP), pathophysiology, definitions, and management of IAH/ACS. Statistical analysis assessed agreement levels, expressed in percentages, on statements among respondents, and comparisons between groups were performed according to the respondent’s education status, base specialty, duration of work experience, role (intensivist vs non-intensivist) and involvement in previous guidelines. Agreement was considered to be reached when 80% or more of the respondents agreed with a particular statement. A total of 1042 respondents from 102 countries, predominantly physicians (73%), of whom 48% were intensivists, participated. Only 59% of HCPs were aware of the 2013 WSACS guidelines, and 41% incorporated them into practice. Despite agreement in most statements, significant variability existed. Notably, agreement was not reached on four new candidate statements: “normal intra-abdominal pressure (IAP) is 10 mmHg in critically ill adults” (77%), “clinical assessment and estimation of IAP is inaccurate” (65.2%), “intragastric can be an alternative to the intravesical route for IAP measurement” (70.4%), and “measurement of IAP should be repeated in the resting position after measurement in a supine position” (71.9%). The survey elucidated nuances in clinical practice and highlighted areas for further education and standardization. More than ten years after the last published guidelines, this worldwide cross-sectional survey collected feedback and evaluated the level of agreement with current recommendations and new candidate statements. This will inform the consensus process for future guideline development.

中文翻译：

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关于腹腔内高压和腹腔间隔室综合征的当前和更新定义的国际横断面调查


腹腔间隔室协会 （WSACS） 于 2006 年建立了腹腔内高压 （IAH） 和腹腔间隔室综合征 （ACS） 管理的共识定义和建议，最近一次更新是在 2013 年。WSACS 在 2022 年至 2023 年期间进行了一项国际调查，以寻求全球医疗保健从业者 （HCP） 就可能用于未来指南的当前和新候选声明达成一致。在 WSACS 的主持下进行了一项自我管理的在线横断面调查，以评估 HCP 之间对当前和新候选人陈述的一致程度。该调查在全球范围内以电子方式分发，收集了对腹内压 （IAP） 测量、病理生理学、定义和管理 IAH/ACS 的同意或不同意的说法。统计分析评估了受访者对陈述的同意水平（以百分比表示），并根据受访者的教育状况、基本专业、工作经验持续时间、角色（重症监护医师与非重症监护医师）和对先前指南的参与进行了组间比较。当 80% 或更多的受访者同意某一特定陈述时，即表示达成协议。共有来自 102 个国家的 1042 名受访者参与调查，主要是医生 （73%），其中 48% 是重症监护医师。只有 59% 的 HCP 了解 2013 年 WSACS 指南，41% 的 HCP 将其纳入实践。尽管大多数陈述都同意，但存在显著的差异。值得注意的是，未就四项新的候选陈述达成一致：“危重症成人的正常腹内压 （IAP） 为 10 mmHg”（77%），“IAP 的临床评估和估计不准确”（65.2%），“胃内可以作为膀胱内途径进行 IAP 测量的替代方法”（70.4%），以及“仰卧位测量后，应在静息位重复测量 IAP”（71.9%）。该调查阐明了临床实践中的细微差别，并强调了需要进一步教育和标准化的领域。在上次发布指南十多年后，这项全球横断面调查收集了反馈，并评估了对当前建议和新候选者声明的同意程度。这将为未来指南制定的共识过程提供信息。