The burden of perioperative hypertension/hypotension: A systematic review
<h4>Study objective</h4> Our goal is to review the outcomes of acute hypertensive/hypotensive episodes from articles published in the past 10 years that assessed the short- and long-term impact of acute hypertensive/hypotensive episodes in the perioperative setting. <h4>Methods<...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827488/?tool=EBI |
| _version_ | 1811225425950539776 |
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| author | Irene Lizano-Díez Stephen Poteet Adrià Burniol-Garcia Mónica Cerezales |
| author_facet | Irene Lizano-Díez Stephen Poteet Adrià Burniol-Garcia Mónica Cerezales |
| author_sort | Irene Lizano-Díez |
| collection | DOAJ |
| description | <h4>Study objective</h4> Our goal is to review the outcomes of acute hypertensive/hypotensive episodes from articles published in the past 10 years that assessed the short- and long-term impact of acute hypertensive/hypotensive episodes in the perioperative setting. <h4>Methods</h4> We conducted a systematic peer review based upon PROSPERO and Cochrane Handbook protocols. The following study characteristics were collected: study type, author, year, population, sample size, their definition of acute hypertension, hypotension or other measures, and outcomes (probabilities, odds ratio, hazard ratio, and relative risk) and the p-values; and they were classified according to the type of surgery (cardiac and non-cardiac). <h4>Results</h4> A total of 3,680 articles were identified, and 66 articles fulfilled the criteria for data extraction. For the perioperative setting, the number of articles varies by outcome: 20 mortality, 16 renal outcomes, 6 stroke, 7 delirium and 34 other outcomes. Hypotension was reported to be associated with mortality (OR 1.02–20.826) as well as changes from the patient’s baseline blood pressure (BP) (OR 1.02–1.36); hypotension also had a role in the development of acute kidney injury (AKI) (OR 1.03–14.11). Postsurgical delirium was found in relation with BP lability (OR 1.018–1.038) and intra- and postsurgical hypotension (OR 1.05–1.22), and hypertension (OR 1.44–2.34). Increased OR (37.67) of intracranial hemorrhage was associated to postsurgical systolic BP >130 mmHg. There was a wide range of additional diverse outcomes related to hypo-, hypertension and BP lability. <h4>Conclusions</h4> The perioperative management of BP influences short- and long-term effects of surgical procedures in cardiac and non-cardiac interventions; these findings support the burden of BP fluctuations in this setting. |
| first_indexed | 2024-04-12T09:07:03Z |
| format | Article |
| id | doaj.art-4d461fb1664341129f0c8a85633350d7 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T09:07:03Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-4d461fb1664341129f0c8a85633350d72022-12-22T03:39:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01172The burden of perioperative hypertension/hypotension: A systematic reviewIrene Lizano-DíezStephen PoteetAdrià Burniol-GarciaMónica Cerezales<h4>Study objective</h4> Our goal is to review the outcomes of acute hypertensive/hypotensive episodes from articles published in the past 10 years that assessed the short- and long-term impact of acute hypertensive/hypotensive episodes in the perioperative setting. <h4>Methods</h4> We conducted a systematic peer review based upon PROSPERO and Cochrane Handbook protocols. The following study characteristics were collected: study type, author, year, population, sample size, their definition of acute hypertension, hypotension or other measures, and outcomes (probabilities, odds ratio, hazard ratio, and relative risk) and the p-values; and they were classified according to the type of surgery (cardiac and non-cardiac). <h4>Results</h4> A total of 3,680 articles were identified, and 66 articles fulfilled the criteria for data extraction. For the perioperative setting, the number of articles varies by outcome: 20 mortality, 16 renal outcomes, 6 stroke, 7 delirium and 34 other outcomes. Hypotension was reported to be associated with mortality (OR 1.02–20.826) as well as changes from the patient’s baseline blood pressure (BP) (OR 1.02–1.36); hypotension also had a role in the development of acute kidney injury (AKI) (OR 1.03–14.11). Postsurgical delirium was found in relation with BP lability (OR 1.018–1.038) and intra- and postsurgical hypotension (OR 1.05–1.22), and hypertension (OR 1.44–2.34). Increased OR (37.67) of intracranial hemorrhage was associated to postsurgical systolic BP >130 mmHg. There was a wide range of additional diverse outcomes related to hypo-, hypertension and BP lability. <h4>Conclusions</h4> The perioperative management of BP influences short- and long-term effects of surgical procedures in cardiac and non-cardiac interventions; these findings support the burden of BP fluctuations in this setting.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827488/?tool=EBI |
| spellingShingle | Irene Lizano-Díez Stephen Poteet Adrià Burniol-Garcia Mónica Cerezales The burden of perioperative hypertension/hypotension: A systematic review PLoS ONE |
| title | The burden of perioperative hypertension/hypotension: A systematic review |
| title_full | The burden of perioperative hypertension/hypotension: A systematic review |
| title_fullStr | The burden of perioperative hypertension/hypotension: A systematic review |
| title_full_unstemmed | The burden of perioperative hypertension/hypotension: A systematic review |
| title_short | The burden of perioperative hypertension/hypotension: A systematic review |
| title_sort | burden of perioperative hypertension hypotension a systematic review |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827488/?tool=EBI |
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