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Defining Postinduction Hemodynamic Instability With an Automated Classification Model.


ABSTRACT:

Background

Postinduction hypotension (PIH) may be associated with increased morbidity and mortality. In earlier studies, the definition of PIH is solely based on different absolute or relative thresholds. However, the time-course (eg, how fast blood pressure drops during induction) is rarely incorporated, whereas it might represent the hemodynamic instability of a patient. We propose a comprehensive model to distinguish hemodynamically unstable from stable patients by combining blood pressure thresholds with the magnitude and speed of decline.

Methods

This prospective study included 375 adult elective noncardiac surgery patients. Noninvasive blood pressure was continuously measured between 5 minutes before up to 15 minutes after the first induction agent had been administere

SUBMITTER: Kho E 

PROVIDER: S-EPMC11687939 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature