High blood pressure variability predicts 30-day mortality but not 1-year mortality in hospitalized elderly patients
Background: The association of blood pressure (BP) variability (BPV) in hospitalized patients, which represents day-to-day variability, with mortality has been extensively reported in patients with stroke, but poorly defined for other medical conditions. Aim and method: To assess the association of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2017-09-01
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| Series: | Blood Pressure |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08037051.2017.1300859 |
| _version_ | 1797685101667024896 |
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| author | Avraham Weiss Yaron Rudman Yichayaou Beloosesky Amit Akirov Tzippy Shochat Alon Grossman |
| author_facet | Avraham Weiss Yaron Rudman Yichayaou Beloosesky Amit Akirov Tzippy Shochat Alon Grossman |
| author_sort | Avraham Weiss |
| collection | DOAJ |
| description | Background: The association of blood pressure (BP) variability (BPV) in hospitalized patients, which represents day-to-day variability, with mortality has been extensively reported in patients with stroke, but poorly defined for other medical conditions. Aim and method: To assess the association of day-to-day blood pressure variability in hospitalized patients, 10 BP measurements were obtained in individuals ≥75 years old hospitalized in a geriatric ward. Day-to-day BPV, measured 3 times a day, was calculated in each patient as the coefficient of variation of systolic BP. Patients were stratified by quartiles of coefficient of variation of systolic BP, and 30-day and 1-year mortality data were compared between those in the highest versus the lowest (reference) group. Results: Overall, 469 patients were included in the final analysis. Mean coefficient of variation of systolic BP was 12.1%. 30-day mortality and 1-year mortality occurred in 29/469 (6.2%) and 95/469 (20.2%) individuals respectively. Patients in the highest quartile of BPV were at a significantly higher risk for 30-day mortality (HR =4.12, CI 1.12–15.10) but not for 1-year mortality compared with the lowest BPV quartile (HR =1.61, CI 0.81–3.23). Conclusions: Day-to-day BPV is associated with 30-day, but not with 1-year mortality in hospitalized elderly patients. |
| first_indexed | 2024-03-12T00:40:36Z |
| format | Article |
| id | doaj.art-be9b6916355d4bee8cfe5da28993c646 |
| institution | Directory Open Access Journal |
| issn | 0803-7051 1651-1999 |
| language | English |
| last_indexed | 2024-03-12T00:40:36Z |
| publishDate | 2017-09-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Blood Pressure |
| spelling | doaj.art-be9b6916355d4bee8cfe5da28993c6462023-09-15T08:45:21ZengTaylor & Francis GroupBlood Pressure0803-70511651-19992017-09-0126525926310.1080/08037051.2017.13008591300859High blood pressure variability predicts 30-day mortality but not 1-year mortality in hospitalized elderly patientsAvraham Weiss0Yaron Rudman1Yichayaou Beloosesky2Amit Akirov3Tzippy Shochat4Alon Grossman5Rabin Medical Center, Beilinson campusTel Aviv UniversityRabin Medical Center, Beilinson campusTel Aviv UniversityTel Aviv UniversityTel Aviv UniversityBackground: The association of blood pressure (BP) variability (BPV) in hospitalized patients, which represents day-to-day variability, with mortality has been extensively reported in patients with stroke, but poorly defined for other medical conditions. Aim and method: To assess the association of day-to-day blood pressure variability in hospitalized patients, 10 BP measurements were obtained in individuals ≥75 years old hospitalized in a geriatric ward. Day-to-day BPV, measured 3 times a day, was calculated in each patient as the coefficient of variation of systolic BP. Patients were stratified by quartiles of coefficient of variation of systolic BP, and 30-day and 1-year mortality data were compared between those in the highest versus the lowest (reference) group. Results: Overall, 469 patients were included in the final analysis. Mean coefficient of variation of systolic BP was 12.1%. 30-day mortality and 1-year mortality occurred in 29/469 (6.2%) and 95/469 (20.2%) individuals respectively. Patients in the highest quartile of BPV were at a significantly higher risk for 30-day mortality (HR =4.12, CI 1.12–15.10) but not for 1-year mortality compared with the lowest BPV quartile (HR =1.61, CI 0.81–3.23). Conclusions: Day-to-day BPV is associated with 30-day, but not with 1-year mortality in hospitalized elderly patients.http://dx.doi.org/10.1080/08037051.2017.1300859blood pressurevariabilitymortalityelderly |
| spellingShingle | Avraham Weiss Yaron Rudman Yichayaou Beloosesky Amit Akirov Tzippy Shochat Alon Grossman High blood pressure variability predicts 30-day mortality but not 1-year mortality in hospitalized elderly patients Blood Pressure blood pressure variability mortality elderly |
| title | High blood pressure variability predicts 30-day mortality but not 1-year mortality in hospitalized elderly patients |
| title_full | High blood pressure variability predicts 30-day mortality but not 1-year mortality in hospitalized elderly patients |
| title_fullStr | High blood pressure variability predicts 30-day mortality but not 1-year mortality in hospitalized elderly patients |
| title_full_unstemmed | High blood pressure variability predicts 30-day mortality but not 1-year mortality in hospitalized elderly patients |
| title_short | High blood pressure variability predicts 30-day mortality but not 1-year mortality in hospitalized elderly patients |
| title_sort | high blood pressure variability predicts 30 day mortality but not 1 year mortality in hospitalized elderly patients |
| topic | blood pressure variability mortality elderly |
| url | http://dx.doi.org/10.1080/08037051.2017.1300859 |
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