Observational studyEuropean journal of anaesthesiology2025
A comparison between invasive and noninvasive measurement of the Hypotension Prediction Index: A post hoc analysis of a prospective cohort study.
Observational study in European journal of anaesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03795831 (Validation Study in Patients of a Non-invasive Blood Pressure Monitor for Perioperative Use), which is not on this map. Cited by 3 papers.
What it found
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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.
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.
Validation Study in Patients of a Non-invasive Blood Pressure Monitor for Perioperative Use
Who cites it
3 citing papers in PubMed.
- A Talk with ChatGPT: The Role of Artificial Intelligence in Shaping the Future of Cardiology and Electrophysiology.Journal of personalized medicine · 2025Article
- Hypotension prediction index: comparison between invasive and non-invasive pressure inputs.BMC anesthesiology · 2025Observational
- The hidden cost of hypotension: redefining hemodynamic management to improve patient outcomes.Brazilian journal of anesthesiology (Elsevier)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClinical trials and validation studies demonstrate promising hypotension prediction capability by the Hypotension Prediction Index (HPI). Most studies that evaluate HPI derive it from invasive blood pressure readings, but a direct comparison with the noninvasive alternative remains undetermined. Such a comparison could provide valuable insights for clinicians in deciding between invasive and noninvasive monitoring strategies.
objectivesEvaluating predictive differences between HPI when obtained through noninvasive versus invasive blood pressure monitoring.
designPost hoc analysis of a prospective observational study conducted between 2018 and 2020.
settingSingle-centre study conducted in an academic hospital in the Netherlands. PATIENTS: Adult noncardiac surgery patients scheduled for over 2 h long elective procedures. After obtaining informed consent, 91 out of the 105 patients had sufficient data for analysis.
main outcome measuresThe primary outcome was the difference in area under the receiver-operating characteristics (ROC) curve (AUC) obtained for HPI predictions between the two datasets. Additionally, difference in time-to-event estimations were calculated.
resultsAUC (95% confidence interval (CI)) results revealed a nonsignificant difference between invasive and noninvasive HPI, with areas of 94.2% (90.5 to 96.8) and 95.3% (90.4 to 98.2), respectively with an estimated difference of 1.1 (-3.9 to 6.1)%; P = 0.673. However, noninvasive HPI demonstrated significantly longer time-to-event estimations for higher HPI values.
conclusionNoninvasive HPI is reliably accessible to clinicians during noncardiac surgery, showing comparable accuracy in HPI probabilities and the potential for additional response time.
trial registrationClinicaltrials.gov (NCT03795831) https://clinicaltrials.gov/study/NCT03795831.
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