ArticleAmerican journal of surgery2020
Preoperative outpatient blood pressure variability predicts postoperative mortality, readmission and morbidity after surgery.
Article in American journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Effects of coronavirus severity and vaccination numbers on postsurgical mortality for elective surgical procedures in the VA population.ANZ journal of surgery · 2025Article
- Blood pressure variability associated with falls in nursing home residents.Geriatrics & gerontology international · 2024Article
- The Role of Blood Pressure Control in Prevention of Hematoma After Blepharoplasty.Aesthetic plastic surgery · 2024Article
- Day-to-day blood pressure variability predicts poor outcomes following percutaneous coronary intervention: A retrospective study.World journal of cardiology · 2022Article
- Correlations Among Visit-to-Visit Blood Pressure Variability and Treatment With Antihypertensive Medication With Long-Term Adverse Outcomes in a Large Veteran Cohort.American journal of hypertension · 2021Article
- Preoperative and Intraoperative Blood Pressure Variability Independently Correlate with Outcomes.The Journal of surgical research · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundOutpatient blood pressure variability (BPV) predicts hospitalization and death in non-surgical patients independently of hypertension. We hypothesized that preoperative BPV predicts postoperative outcomes.
methodsWe assessed 22,233 veterans undergoing CABG, colectomy, hip replacement, pancreatectomy, carotid endarterectomy or AV-fistula with ≥10 outpatient BP's over three preoperative years. Calculating BPV as SD of systolic or diastolic BP, we used logistic regression considering demographics, comorbidities, and pre-admission cardiovascular medications to estimate odds ratios for 90-day mortality or readmission, MI, CVA, renal failure, and wound infection, choosing the lowest 5%ile of systolic/diastolic BPV for reference.
resultsCovariate-adjusted ORs for adverse outcomes increased as BPV increased. For instance, the highest 5%ile of systolic BPV had covariate-adjusted ORs of 2.96 and 1.78 for 90-day mortality and readmission. Systolic and diastolic BPV trended together but affected outcomes independently.
conclusionsPreoperative BPV predicts postoperative outcomes. BPV should be considered in individualized risk assessment and subgroup risk stratification.
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Registered trials
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