Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery
Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery
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DOI：
10.1016/j.bja.2019.01.019
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发表时间：
2019-05-01
影响因子：
9.8
通讯作者：
Edwards, Mark R.
中科院分区：
文献类型：
--
作者：
McEvoy, Matthew D.;Gupta, Ruchir;Edwards, Mark R.
背景：术后低血压和高血压是与不良结局风险增加相关的常见事件。然而，人们对适当的评估和管理往往知之甚少。作为围手术期质量改进（POQI）第3次会议的一部分，我们制定了一份针对该主题的共识文件。目标人群包括成人，非心脏手术患者在术后阶段以外的ICU.Methods：一个修改后的德尔菲技术，评估论文发表在MEDLINE检查术后血压监测，管理和结果。实践建议是根据国家健康与护理卓越研究所的指南制定的。结果：共识建议是：（i）有证据表明，术后收缩压相关的损害
Background: Postoperative hypotension and hypertension are frequent events associated with increased risk of adverse outcomes. However, proper assessment and management is often poorly understood. As a part of the PeriOperative Quality Improvement (POQI) 3 workgroup meeting, we developed a consensus document addressing this topic. The target population includes adult, non-cardiac surgical patients in the postoperative phase outside of the ICU.Methods: A modified Delphi technique was used, evaluating papers published in MEDLINE examining postoperative blood pressure monitoring, management, and outcomes. Practice recommendations were developed in line with National Institute for Health and Care Excellence guidelines.Results: Consensus recommendations were that (i) there is evidence of harm associated with postoperative systolic arterial pressure