None listed
Conditions
Brief summary
Few patients admitted to the intensive care unit (ICU) have a previous record of directly measured BP during nighttime or resting (hereto referred as basal) state. Therefore, the usual hemodynamic targets in ICU are broadly based on values relevant to the general population. Individualising these targets could vastly improve management of critically ill patients. A validated protocol to estimate a patient’s baseline BP would enable this tailored therapy for the patients. The main purpose of this study is to assess the agreement (or the difference) between a protocol-estimated value and a directly measured value for the resting BP in a cohort of patients who recently underwent direct measurements of their resting arterial BP. In this study, we hypothesise that the directly measured and protocol-estimated BP values will correlate well with minimal bias.
Interventions
This is a retrospective observational cohort study among patients who attended our hospital cardiology department. We will enrol only those patients who recently underwent nighttime ambulatory blood pressure (BP) monitoring (within the last 2 years). These BP measurements will be considered as direct measurements of basal arterial BP. For all enrolled patients, a blinded study investigator who is not aware of the direct measurements, will then estimate the basal mean arterial BP according to a preset protocol, which is displayed in public notes section. Both values, directly measured and protocol-estimated, will be then correlated for each participant.
Sponsors
Eligibility
Inclusion criteria
Patients with recent outpatient ambulatory BP monitoring within last 2 years AND 2 to 5 recorded BP measurements in a routine/follow up clinic BP within last three years
Exclusion criteria
Patients with end stage renal disease and/or receiving dialysis