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. 2022 Feb 9;17(2):e0263737. doi: 10.1371/journal.pone.0263737

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.