ArticleJournal of the American Heart Association2019
Nocturnal Mean Arterial Pressure Rising Is Associated With Mortality in the Intensive Care Unit: A Retrospective Cohort Study.
Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Association between postoperative nocturnal blood pressure rising and mortality in patients receiving cardiac surgery: a retrospective cohort study.BMC cardiovascular disorders · 2026Article
- Association of 24-h Blood Pressure Pattern With Mortality in ICU Patients: A Multicenter Retrospective Study.Journal of clinical hypertension (Greenwich, Conn.) · 2025Observational
- A randomized controlled trial examining the impact of diversified nursing interventions on the circadian rhythm of sedated critically ill patients.Frontiers in medicine · 2025Article
- Association between base excess and mortality in critically ill patients with ischemic stroke: a retrospective cohort study.BMC neurology · 2024Article
- Postoperative Dipping Patterns of Mean Arterial Pressure and Mortality After Coronary Artery Bypass Grafting.Journal of cardiovascular translational research · 2024Article
- Association Between Systolic Blood Pressure and in-Hospital Mortality Among Congestive Heart Failure Patients with Chronic Obstructive Pulmonary Disease in the Intensive Care Unit: A Retrospective Cohort Study.International journal of chronic obstructive pulmonary disease · 2024Article
- Association of Blood Pressure Variability With Death and Discharge Destination Among Critically Ill Patients With and Without Stroke.Neurology · 2023Article
- Expert consensus on blood pressure management in critically ill patients.Journal of intensive medicine · 2023Article
- Mean arterial pressure and outcomes in critically ill patients: is there a difference between high and low target?Revista da Associacao Medica Brasileira (1992) · 2023Article
- Association between circadian variation of heart rate and mortality among critically ill patients: a retrospective cohort study.BMC anesthesiology · 2022Observational
- Circadian patterns of heart rate, respiratory rate and skin temperature in hospitalized COVID-19 patients.PloS one · 2022Article
- Increased variability of mean arterial pressure is associated with increased risk of short-term mortality in intensive care unit: A retrospective study.Frontiers in neurology · 2022Article
- The Relationship Between Short-Term Mean Arterial Pressure Variability and Mortality in Critically Ill Patients.Frontiers in cardiovascular medicine · 2022Article
- Day-to-day progression of vital-sign circadian rhythms in the intensive care unit.Critical care (London, England) · 2021Article
- Vital-sign circadian rhythms in patients prior to discharge from an ICU: a retrospective observational analysis of routinely recorded physiological data.Critical care (London, England) · 2020Observational
- Nocturnal Mean Arterial Pressure Rising Is Associated With Mortality in the Intensive Care Unit: A Retrospective Cohort Study.Journal of the American Heart Association · 2019Article
- J-Shaped Association Between Respiratory Rate and In-Hospital Mortality in Acute Myocardial Infarction Patients Complicated by Congestive Heart Failure in Intensive Care Unit.Dose-response : a publication of International Hormesis SocietyArticle
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background Disrupted circadian rhythm of blood pressure is commonly observed in patients in the intensive care unit (ICU). This study assessed the association of nocturnal mean arterial pressure rising (NMAPR) with short- and long-term mortality in critically ill adult patients. Methods and Results Adult patients with a complete record of mean arterial pressure monitoring during the first 24 hours of ICU stay in the Multiparameter Intelligent Monitoring in Intensive Care II (MIMIC-II) database were included in this retrospective cohort study. All patients were divided into the non-NMAPR group (≤1) or the NMAPR group (>1), according to the value of mean nighttime divided by daytime mean arterial pressure. The associations of NMAPR with ICU, hospital, 28-day, and 1-year mortality were assessed using multivariable logistic regression or a Cox proportional hazards model. Interaction and subgroup analyses were performed for those patients who had a first Sequential Organ Failure Assessment (SOFA) score of ≥8 or <8. The overall cohort comprised 5185 patients. The patients with NMAPR (n=1865) had higher ICU, hospital, 28-day, and 1-year mortality than the non-NMAPR group (n=3320). After adjusting for covariates, the analysis showed that NMAPR was significantly associated with mortality in the ICU (odds ratio: 1.34; 95% CI, 1.10-1.65), in the hospital (odds ratio: 1.35; 95% CI, 1.12-1.63), at 28 days (hazard ratio: 1.27; 95% CI, 1.10-1.48), and at 1 year (hazard ratio: 1.24; 95% CI, 1.10-1.40). All results of the interaction analysis had no statistical significance, and similar results persisted in the patients with different SOFA scores. Conclusions NMAPR may aid in the early identification of critically ill patients at high risk of ICU, hospital, 28-day, or 1-year mortality.
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