Evidence map›Paper›PMID 36431308›Full record

ArticleJournal of clinical medicine2022

Incidence, Severity and Clinical Factors Associated with Hypotension in Patients Admitted to an Intensive Care Unit: A Prospective Observational Study.

Lotte E Terwindt, Jaap Schuurmans, Björn J P van der Ster, Carin A G C L Wensing, Marijn P Mulder, Marije Wijnberge, Thomas G V Cherpanath, Wim K Lagrand, Alain A Karlas, Mark H Verlinde and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Alarm configuration and adherence to prescribed mean arterial pressure targets in the intensive care unit: A multicentre pre-post evaluation.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Lotte E TerwindtDepartment of Anesthesiology, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0002-8150-9348
Jaap SchuurmansDepartment of Intensive Care, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0001-7471-8304
Björn J P van der SterDepartment of Anesthesiology, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.
Carin A G C L WensingDepartment of Anesthesiology, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.
Marijn P MulderCardiovascular and Respiratory Physiology Group, Technical Medical Center, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands.ORCID 0000-0003-0318-0046
Marije WijnbergeDepartment of Anesthesiology, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.
Thomas G V CherpanathDepartment of Intensive Care, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.
Wim K LagrandDepartment of Intensive Care, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0003-2784-1961
Alain A KarlasDepartment of Anesthesiology, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.
Mark H VerlindeDepartment of Anesthesiology, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.
Markus W HollmannDepartment of Anesthesiology, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0001-8248-0244
Bart F GeertsDepartment of Anesthesiology, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.
Denise P VeeloDepartment of Anesthesiology, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.
Alexander P J VlaarDepartment of Intensive Care, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0002-3453-7186
Amsterdam UMC Location University of Amsterdam · NLUniversity of Twente · NL

Funding

Edwards Lifesciences (United States) PHYSIC
6 · The paper itself

Abstract

Background: The majority of patients admitted to the intensive care unit (ICU) experience severe hypotension which is associated with increased morbidity and mortality. At present, prospective studies examining the incidence and severity of hypotension using continuous waveforms are missing. Methods: This study is a prospective observational cohort study in a mixed surgical and non-surgical ICU population. All patients over 18 years were included and continuous arterial pressure waveforms data were collected. Mean arterial pressure (MAP) below 65 mmHg for at least 10 s was defined as hypotension and a MAP below 45 mmHg as severe hypotension. The primary outcome was the incidence of hypotension. Secondary outcomes were the severity of hypotension expressed in time-weighted average (TWA), factors associated with hypotension, the number and duration of hypotensive events. Results: 499 patients were included. The incidence of hypotension (MAP < 65 mmHg) was 75% (376 out of 499) and 9% (46 out of 499) experienced severe hypotension. Median TWA was 0.3 mmHg [0−1.0]. Associated clinical factors were age, male sex, BMI and cardiogenic shock. There were 5 (1−12) events per patients with a median of 52 min (5−170). Conclusions: In a mixed surgical and non-surgical ICU population the incidence of hypotension is remarkably high.

Indexed as

area under the thresholdarterial waveformblood pressurecardiovascularhemodynamicshypotensionmonitoring

Identifiers

PMID36431308
PMCPMC9696980
OpenAlexW4309740764

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.