Association between Intraoperative Hypotension and Hypertension and 30-day Postoperative Mortality in Noncardiac Surgery
American Institute of Certified Public Accountants · Colorado School of Public Health · +5 more institutions
Abstract
Although deviations in intraoperative blood pressure are assumed to be associated with postoperative mortality, critical blood pressure thresholds remain undefined. Therefore, the authors estimated the intraoperative thresholds of systolic blood pressure (SBP), mean blood pressure (MAP), and diastolic blood pressure (DBP) associated with increased risk-adjusted 30-day mortality.
This retrospective cohort study combined intraoperative blood pressure data from six Veterans Affairs medical centers with 30-day outcomes to determine the risk-adjusted associations between intraoperative blood pressure and 30-day mortality. Deviations in blood pressure were assessed using three methods: (1) population thresholds (individual patient sum of area under threshold [AUT] or area over threshold 2 SDs from the mean of the population intraoperative blood pressure values), (2). absolute thresholds, and (3) percent change from baseline blood pressure.
Citation impact
- FWCI
- 27.21
- Percentile
- 100%
- References
- 34
Authors
10- TGTerri G. MonkCorresponding
American Institute of Certified Public Accountants, Colorado School of Public Health, Durham VA Medical Center, University of Missouri, University of Colorado Denver
- MRMichael R. Bronsert
American Institute of Certified Public Accountants, Colorado School of Public Health, Instituto de Geocronología y Geología Isotópica, Durham VA Medical Center, High Throughput Biology (United States), University of Missouri
- WGWilliam G. Henderson
American Institute of Certified Public Accountants, Colorado School of Public Health, Instituto de Geocronología y Geología Isotópica, Durham VA Medical Center, High Throughput Biology (United States), University of Missouri
- MPMichael P. Mangione
American Institute of Certified Public Accountants, Colorado School of Public Health, Instituto de Geocronología y Geología Isotópica, Durham VA Medical Center, High Throughput Biology (United States), University of Missouri
- STSam T. Sum-Ping
American Institute of Certified Public Accountants, Colorado School of Public Health, Instituto de Geocronología y Geología Isotópica, Durham VA Medical Center, High Throughput Biology (United States), University of Missouri
Topics & keywords
- Medicine
- Anesthesia
- Surgery
- Good health and well-being