We've known of this problem for years! SOLVE IT BY CREATING BLOOD PRESSURE MANAGEMENT PROTOCOLS! Don't just tell us a problem exists, I'd fire anyone who doesn't solve the problem directly in front of them! No excuses!
blood pressure management (68 posts to June 2017)
Higher Blood Pressure Variability, Worse Outcomes Likely in Patients With Stroke
Blood pressure variability was higher and associated with
worse outcomes in patients with stroke compared with those without
stroke.
Higher blood pressure variations are associated with worse clinical outcomes in patients with stroke compared with those without stroke, according to study findings published in the journal Neurology.
Blood pressure variability has been linked to worse outcomes in patients with stroke and has also been acutely observed in a variety of illnesses. It is unclear whether this variance represents a diseased state, or a modifiable risk factor that can be targeted for intervention. As such, researchers investigated the incidence of blood pressure variability in patients with vs without stroke in an intensive care unit (ICU), as well as comparing outcomes.
The researchers conducted a retrospective analysis on adult patients admitted to the ICU at Beth Israel Deaconess Medical Center (BIDMC) from 2001 and 2012. Data was collected on individuals admitted to the ICU with the following International Classification of Diseases 9th Edition (ICD-9) diagnoses:
- ischemic stroke,
- intracerebral hemorrhage (ICH),
- subarachnoid hemorrhage (SAH),
- acute myocardial infarction,
- pulmonary embolism, sepsis,
- congestive heart failure,
- gastrointestinal bleed, or
- pneumonia.
To limit outlier readings, those with less than 10 blood pressure measurements were excluded.
The primary outcome of the study was death, occurring either in-hospital or after transfer out of the ICU. Secondary outcomes included favorable discharges, which consisted of discharge to a person’s home, acute rehabilitation, hospice or skilled nursing facility.
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