Evidence map›Paper›PMID 37487742›Full record

ArticleNeurology2023

Association of Blood Pressure Variability With Death and Discharge Destination Among Critically Ill Patients With and Without Stroke.

Eric Lee Stulberg, Benjamin Robert Edward Harris, Alexander Robert Zheutlin, Alen Delic, Nazanin Sheibani, Mohammad Anadani, Shadi Yaghi, Nils H Petersen, Adam de Havenon

Open access · greenAbstract read
In one paragraph

Article in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 7 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Eric Lee StulbergFrom the Department of Neurology (E.L.S., A.D., A.H.), and Department of Internal Medicine (B.R.E.H., A.R.Z.), University of Utah School of Medicine, Salt Lake City; Department of Neurology (N.S.), Tufts University Medical Center, Boston, MA; Department of Neurology (M.A.), Medical University of South Carolina, Charleston; Department of Neurology (S.Y.), Brown University Alpert School of Medicine, Providence, RI; and Department of Neurology (N.H.P., A.H.), Yale University School of Medicine, New Haven, CT. eric.stulberg@hsc.utah.edu.ORCID 0000-0002-3075-4597
Benjamin Robert Edward HarrisFrom the Department of Neurology (E.L.S., A.D., A.H.), and Department of Internal Medicine (B.R.E.H., A.R.Z.), University of Utah School of Medicine, Salt Lake City; Department of Neurology (N.S.), Tufts University Medical Center, Boston, MA; Department of Neurology (M.A.), Medical University of South Carolina, Charleston; Department of Neurology (S.Y.), Brown University Alpert School of Medicine, Providence, RI; and Department of Neurology (N.H.P., A.H.), Yale University School of Medicine, New Haven, CT.
Alexander Robert ZheutlinFrom the Department of Neurology (E.L.S., A.D., A.H.), and Department of Internal Medicine (B.R.E.H., A.R.Z.), University of Utah School of Medicine, Salt Lake City; Department of Neurology (N.S.), Tufts University Medical Center, Boston, MA; Department of Neurology (M.A.), Medical University of South Carolina, Charleston; Department of Neurology (S.Y.), Brown University Alpert School of Medicine, Providence, RI; and Department of Neurology (N.H.P., A.H.), Yale University School of Medicine, New Haven, CT.
Alen DelicFrom the Department of Neurology (E.L.S., A.D., A.H.), and Department of Internal Medicine (B.R.E.H., A.R.Z.), University of Utah School of Medicine, Salt Lake City; Department of Neurology (N.S.), Tufts University Medical Center, Boston, MA; Department of Neurology (M.A.), Medical University of South Carolina, Charleston; Department of Neurology (S.Y.), Brown University Alpert School of Medicine, Providence, RI; and Department of Neurology (N.H.P., A.H.), Yale University School of Medicine, New Haven, CT.
Nazanin SheibaniFrom the Department of Neurology (E.L.S., A.D., A.H.), and Department of Internal Medicine (B.R.E.H., A.R.Z.), University of Utah School of Medicine, Salt Lake City; Department of Neurology (N.S.), Tufts University Medical Center, Boston, MA; Department of Neurology (M.A.), Medical University of South Carolina, Charleston; Department of Neurology (S.Y.), Brown University Alpert School of Medicine, Providence, RI; and Department of Neurology (N.H.P., A.H.), Yale University School of Medicine, New Haven, CT.
Mohammad AnadaniFrom the Department of Neurology (E.L.S., A.D., A.H.), and Department of Internal Medicine (B.R.E.H., A.R.Z.), University of Utah School of Medicine, Salt Lake City; Department of Neurology (N.S.), Tufts University Medical Center, Boston, MA; Department of Neurology (M.A.), Medical University of South Carolina, Charleston; Department of Neurology (S.Y.), Brown University Alpert School of Medicine, Providence, RI; and Department of Neurology (N.H.P., A.H.), Yale University School of Medicine, New Haven, CT.ORCID 0000-0002-7813-2949
Shadi YaghiFrom the Department of Neurology (E.L.S., A.D., A.H.), and Department of Internal Medicine (B.R.E.H., A.R.Z.), University of Utah School of Medicine, Salt Lake City; Department of Neurology (N.S.), Tufts University Medical Center, Boston, MA; Department of Neurology (M.A.), Medical University of South Carolina, Charleston; Department of Neurology (S.Y.), Brown University Alpert School of Medicine, Providence, RI; and Department of Neurology (N.H.P., A.H.), Yale University School of Medicine, New Haven, CT.
Nils H PetersenFrom the Department of Neurology (E.L.S., A.D., A.H.), and Department of Internal Medicine (B.R.E.H., A.R.Z.), University of Utah School of Medicine, Salt Lake City; Department of Neurology (N.S.), Tufts University Medical Center, Boston, MA; Department of Neurology (M.A.), Medical University of South Carolina, Charleston; Department of Neurology (S.Y.), Brown University Alpert School of Medicine, Providence, RI; and Department of Neurology (N.H.P., A.H.), Yale University School of Medicine, New Haven, CT.ORCID 0000-0001-9711-3340
Adam de HavenonFrom the Department of Neurology (E.L.S., A.D., A.H.), and Department of Internal Medicine (B.R.E.H., A.R.Z.), University of Utah School of Medicine, Salt Lake City; Department of Neurology (N.S.), Tufts University Medical Center, Boston, MA; Department of Neurology (M.A.), Medical University of South Carolina, Charleston; Department of Neurology (S.Y.), Brown University Alpert School of Medicine, Providence, RI; and Department of Neurology (N.H.P., A.H.), Yale University School of Medicine, New Haven, CT.ORCID 0000-0001-8178-8597
Tufts University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Utah Stimulating Access to Research in Residency Transition Scholar (StARRTS)R38HL143605 · NHLBI · UNIVERSITY OF UTAH · PI CONROY, MARGARET B, OKUYEMI, KOLAWOLE S · 2018 to 2021
$1.3M
Treatment Targets for Inflamed Intracranial Atherosclerosis on Vessel Wall MRIK23NS105924 · NINDS · YALE UNIVERSITY · PI DE HAVENON, ADAM H. · 2019 to 2023
$988k
Utah Stimulating Access to Research in ResidencyR38HL167282 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Margaret B Conroy, JOSEPH BARNEY STANFORD · 2023 to 2026
$924k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R38 HL143605NHLBI NIH HHS R38 HL167282NINDS NIH HHS K23 NS105924
6 · The paper itself

Abstract

BACKGROUND AND

objectivesIt is unclear whether blood pressure variability's (BPV) association with worse outcomes is unique to patients with stroke or a risk factor among all critically ill patients. We (1) determined whether BPV differed between patients with stroke and nonstroke patients, (2) examined BPV's associations with in-hospital death and favorable discharge destination in patients with stroke and nonstroke patients, and (3) assessed how minimum mean arterial pressure (MAP)-a correlate of illness severity and cerebral perfusion-affects these associations.

methodsThis is a retrospective analysis of adult intensive care unit patients hospitalized between 2001 and 2012 from the Medical Information Mart for Intensive Care III database. Confounder-adjusted logistic regressions determined associations between BPV, measured as SD and average real variability (ARV), and (1) in-hospital death and (2) favorable discharge, with testing of minimum MAP for effect modification.

resultsBPV was higher in patients with stroke (N = 2,248) compared with nonstroke patients (N = 9,085) (SD mean difference 2.3, 95% CI 2.1-2.6, DISCUSSION: BPV is higher and generally associated with worse outcomes among patients with stroke compared with nonstroke patients. BPV in patients with AIS and patients with ICH may be a marker of central autonomic network injury, although clinician-driven blood pressure goals likely contribute to the association between BPV and outcomes.

Indexed as

Patient DischargeStrokeAdultBlood PressureCritical IllnessHospital MortalityHumansRetrospective Studies

Identifiers

PMID37487742
PMCPMC10513881
OpenAlexW4385190643

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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.