Table 4. Mortality associated with perioperative variability in blood pressure (and other measures of blood pressure).
Author | Year | Sample size | Definition of measure | Result* | P-value | Duration | Measure |
---|---|---|---|---|---|---|---|
Aronson et al.# [16] | 2011 | 1,512 | SBP, 65–135 mmHg intraoperative 75–145 mmHg pre and post | 1.142 (0.989–1.319) | 0.0707 | 30-day | SBP Variability |
SBP, 75–135 mmHg intraoperative 85–145 mmHg pre and post | 1.16 (1.039–1.295) | 0.0082 | 30-day | SBP Variability | |||
SBP, 85–135 mmHg intraoperative 95–145 mmHg pre and post | 1.18 (1.076–1.295) | 0.0005 | 30-day | SBP Variability | |||
SBP, 95–135 mmHg intraoperative 105–145 mmHg pre and post | 1.153 (1.074–1.238) | <0.01 | 30-day | SBP Variability | |||
SBP, 105–135 mmHg intraoperative 115–145 mmHg pre and post | 1.105 (1.053–1.160) | <0.01 | 30-day | SBP Variability | |||
Ono et al.# [51] | 2014 | 450 | AUC MAP<LLA (mmHg x min/h) | 1.36 (1.08–1.71) | 0.008 | Morbidity or mortality | MAP below limit of autoregulation |
Mascha et al. [42] | 2015 | 104,401 | Average real variability-MAP 25th percentile | 1.14 (1.03–1.25) | 0.01 | 30-day | MAP Variability |
Average real variability-MAP median | 1.0 (reference) | 30-day | MAP Variability | ||||
Average real variability-MAP 75th percentile | 0.94 (0.88–0.99) | 0.018 | 30-day | MAP Variability | |||
10-min sustained minimum MAP (mmHg) minimum MAP <70 | 0.76 (0.72–0.80) | <0.01 | 30-day | MAP Variability | |||
10-min sustained minimum MAP (mmHg) minimum MAP ≥70 | 1.02 (0.95–1.10) | 0.59 | 30-day | MAP Variability | |||
Cumulative min of MAP <50 mmHg (10 min) | 1.23 (1.15–1.30) | <0.001 | 30-day | MAP Variability | |||
Cumulative min of MAP <55 mmHg (10 min) | 1.13 (1.09–1.17) | <0.001 | 30-day | MAP Variability | |||
Cumulative min of MAP <60 mmHg (10 min) | 1.09 (1.07–1.11) | <0.001 | 30-day | MAP Variability | |||
Cumulative min of MAP <70 mmHg (10 min) | 1.04 (1.03–1.05) | <0.001 | 30-day | MAP Variability | |||
Cumulative min of MAP <80 mmHg (10 min) | 1.02 (1.01–1.03) | <0.001 | 30-day | MAP Variability | |||
Wiorek and Krzych. [71] | 2019 | 835 | SBP variability per 1% | 1.10 (1.00–1.21) | 0.05 | 30-day | SBP Variability |
Mean BP variability per 1% | 1.10 (0.99–1.23) | 0.06 | 30-day | SBP Variability | |||
DBP variability per 1% | 1.10 (1.01–1.21) | 0.03 | 30-day | SBP Variability | |||
Wu et al. [72] | 2017 | 678 | MAP 65 to 79 mmHg | 3% Incidence | 0.671 | 28-day mortality incidence | Control of MAP |
MAP 80 to 95 mmHg | 2.9% Incidence | Control of MAP | |||||
MAP 96 to 110 mmHg | 3.8% Incidence | Control of MAP |
Abbreviations: AUC MAP<LLA: area under the curve of mean arterial pressure less than the lower limit of autoregulation during the cardiopulmonary bypass, BP: blood pressure, CI: confidence interval, DBP: diastolic blood pressure, MAP: mean arterial pressure, min: minutes, OR: odds ratio, SBP: systolic blood pressure.
*Generally, OR (95% CI), unless otherwise stated.
# These articles refer to cardiac surgery.