Expert consensus on blood pressure management in critically ill patients

Yu, Yuetian; Gong, Yi; Hu, Bo; Ouyang, Bo; Pan, Aijun; Liu, Jinglun; Liu, Fen; Shang, Xiuling; Yang, Xianghong; Tu, Guo-Wei; Wang, Changsong; Ma, Shenglin; Wei, Fang; Liu, Ling; Liu, Jiao; Chen, Dechang

doi:10.1016/j.jointm.2023.06.001

Cited by 3 publications

(1 citation statement)

References 165 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Perawatan hipertensi di ICU sangat penting bagi pasien yang sakit kritis, karena keadaan darurat hipertensi dapat berdampak signifikan pada berbagai organ, termasuk jantung, ginjal, otak, dan paru-paru (Salgado et al, 2013). Penyebab umum hipertensi pada pasien ICU termasuk keadaan darurat hipertensi, yang dapat disebabkan oleh berbagai faktor seperti nyeri, kecemasan, dan penghentian obat antihipertensi pada pasien sakit kritis (Yu et al, 2023). Jumlah pasien hipertensi yang berada di ICU mencapai 20 hingga 50 persen dari keseluruhan pasien (Napolitano, 2019).…”

Section: Pendahuluanunclassified

Hubungan Hipertensi pada Kejadian Henti Jantung Pasien Intensive Care Unit (ICU)

Pramono,

Matsushita,

Ria Selvyana

2024

jsi

View full text Add to dashboard Cite

Menurut sebuah studi World health Organization (WHO), hampir setengah dari seluruh kasus serangan jantung disebabkan oleh tekanan darah tinggi. Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara hipertensi dengan henti jantung. Penelitian ini menggunakan data sekunder pasien rawat inap tahun 2021-2022 di ICU RS PKU Muhammadiyah Gamping yang mengalami hipertensi dan henti jantung. Desain penelitian cross-sectional dan dilakukan uji chi-square bivariate untuk mencari hubungan hipertensi dengan henti jantung. Data yang didapat berjumlah 316 subjek, terdiri dari subjek hipertensi yang mengalami henti jantung sebesar 57 subjek (18,03%), hipertensi tanpa henti jantung 50 subjek (15,82%), 119 (37,66%) subjek henti jantung tanpa hipertensi, dan 90 (28,48%). Jika dilakukan analisis uji bivariat maka didapatkan nilai p sebesar 0,535 (p>0,05) yang berarti tidak ada hubungan yang signifikan antara hipertensi dengan kejadian henti jantung. Tidak terdapat hubungan antara hipertensi dengan kejadian henti jantung di ICU. Peneliti menyarankan untuk mempertimbangkan komplikasi dan faktor risiko hipertensi, sehingga dapat diketahui lebih rinci jenis hipertensi yang berpengaruh terhadap henti jantung.

show abstract

Section: Pendahuluanunclassified

Hubungan Hipertensi pada Kejadian Henti Jantung Pasien Intensive Care Unit (ICU)

Pramono,

Matsushita,

Ria Selvyana

2024

jsi

View full text Add to dashboard Cite

show abstract

The Left Heart System

Lim

2024

Hemodynamic Physiology in Advanced Heart Failure and Cardiogenic Shock

View full text Add to dashboard Cite

Low Versus High Blood Pressure Targets in Critically Ill and Surgical Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials*

D’Amico,

Pruna,

Putowski

et al. 2024

Critical Care Medicine

View full text Add to dashboard Cite

Objectives: Hypotension is associated with adverse outcomes in critically ill and perioperative patients. However, these assumptions are supported by observational studies. This meta-analysis of randomized controlled trials aims to compare the impact of lower versus higher blood pressure targets on mortality. Data Sources: We searched PubMed, Cochrane, and Scholar from inception to February 10, 2024. Study Selection: Randomized trials comparing lower versus higher blood pressure targets in the management of critically ill and perioperative settings. Data Extraction: The primary outcome was all-cause mortality at the longest follow-up available. This review was registered in the Prospective International Register of Systematic Reviews, CRD42023452928. Data Synthesis: Of 2940 studies identified by the search string, 28 (12 in critically ill and 16 in perioperative settings) were included totaling 15,672 patients. Patients in the low blood pressure target group had lower mortality (23 studies included: 1019/7679 [13.3%] vs. 1103/7649 [14.4%]; relative risk 0.93; 95% CI, 0.87–0.99; p = 0.03; I 2 = 0%). This corresponded to a 97.4% probability of any increase in mortality with a Bayesian approach. These findings were mainly driven by studies performed in the ICU setting and with treatment lasting more than 24 hours; however, the magnitude and direction of the results were similar in the majority of sensitivity analyses including the analysis restricted to low risk of bias studies. We also observed a lower rate of atrial fibrillation and fewer patients requiring transfusion in low-pressure target groups. No differences were found in the other secondary outcomes. Conclusions: Based on pooled randomized trial evidence, a lower compared with a higher blood pressure target results in a reduction of mortality, atrial fibrillation, and transfusion requirements. Lower blood pressure targets may be beneficial but there is ongoing uncertainty. However, the present meta-analysis does not confirm previous findings and recommendations. These results might inform future guidelines and promote the study of the concept of protective hemodynamics.

show abstract

Expert consensus on blood pressure management in critically ill patients

Cited by 3 publications

References 165 publications

Hubungan Hipertensi pada Kejadian Henti Jantung Pasien Intensive Care Unit (ICU)

Hubungan Hipertensi pada Kejadian Henti Jantung Pasien Intensive Care Unit (ICU)

The Left Heart System

Low Versus High Blood Pressure Targets in Critically Ill and Surgical Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials*

Contact Info

Product

Resources

About