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Definition and incidence of hypotension in intensive care unit patients, an international survey of the European Society of Intensive Care Medicine. / Cardiovascular Dynamics Section of the ESICM.

In: Journal of critical care, Vol. 65, 01.10.2021, p. 142-148.

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Cardiovascular Dynamics Section of the ESICM. Definition and incidence of hypotension in intensive care unit patients, an international survey of the European Society of Intensive Care Medicine. Journal of critical care. 2021 Oct 1;65:142-148. doi: 10.1016/j.jcrc.2021.05.023, 10.1016/j.jcrc.2021.05.023

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Cardiovascular Dynamics Section of the ESICM. / Definition and incidence of hypotension in intensive care unit patients, an international survey of the European Society of Intensive Care Medicine. In: Journal of critical care. 2021 ; Vol. 65. pp. 142-148.

BibTeX

@article{cf66b995a0b84032a418ec93c9b67ee5,
title = "Definition and incidence of hypotension in intensive care unit patients, an international survey of the European Society of Intensive Care Medicine",
abstract = "Introduction: Although hypotension in ICU patients is associated with adverse outcome, currently used definitions are unknown and no universally accepted definition exists. Methods: We conducted an international, peer-reviewed survey among ICU physicians and nurses to provide insight in currently used definitions, estimations of incidence, and duration of hypotension. Results: Out of 1394 respondents (1055 physicians (76%) and 339 nurses (24%)), 1207 (82%) completed the questionnaire. In all patient categories, hypotension definitions were predominantly based on an absolute MAP of 65 mmHg, except for the neuro(trauma) category (75 mmHg, p < 0.001), without differences between answers from physicians and nurses. Hypotension incidence was estimated at 55%, and time per day spent in hypotension at 15%, both with nurses reporting higher percentages than physicians (estimated mean difference 5%, p = 0.01; and 4%, p < 0.001). Conclusions: An absolute MAP threshold of 65 mmHg is most frequently used to define hypotension in ICU patients. In neuro(trauma) patients a higher threshold was reported. The majority of ICU patients are estimated to endure hypotension during their ICU admission for a considerable amount of time, with nurses reporting a higher estimated incidence and time spent in hypotension than physicians.",
keywords = "Blood pressure, Critical care, Hypotension, Intensive care units, Surveys and questionnaires",
author = "{Cardiovascular Dynamics Section of the ESICM} and J Schenk and {van der Ven}, {W H} and J Schuurmans and S Roerhorst and Cherpanath, {T G V} and Lagrand, {W K} and P Thoral and Elbers, {P W G} and Tuinman, {P R} and Scheeren, {T W L} and J Bakker and Geerts, {B F} and Veelo, {D P} and F Paulus and Vlaar, {A P J}",
note = "Publisher Copyright: {\textcopyright} 2021 The Authors Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2021",
month = oct,
day = "1",
doi = "10.1016/j.jcrc.2021.05.023",
language = "English",
volume = "65",
pages = "142--148",
journal = "Journal of critical care",
issn = "0883-9441",
publisher = "Elsevier BV",

}

RIS

TY - JOUR

T1 - Definition and incidence of hypotension in intensive care unit patients, an international survey of the European Society of Intensive Care Medicine

AU - Cardiovascular Dynamics Section of the ESICM

AU - Schenk, J

AU - van der Ven, W H

AU - Schuurmans, J

AU - Roerhorst, S

AU - Cherpanath, T G V

AU - Lagrand, W K

AU - Thoral, P

AU - Elbers, P W G

AU - Tuinman, P R

AU - Scheeren, T W L

AU - Bakker, J

AU - Geerts, B F

AU - Veelo, D P

AU - Paulus, F

AU - Vlaar, A P J

N1 - Publisher Copyright: © 2021 The Authors Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/10/1

Y1 - 2021/10/1

N2 - Introduction: Although hypotension in ICU patients is associated with adverse outcome, currently used definitions are unknown and no universally accepted definition exists. Methods: We conducted an international, peer-reviewed survey among ICU physicians and nurses to provide insight in currently used definitions, estimations of incidence, and duration of hypotension. Results: Out of 1394 respondents (1055 physicians (76%) and 339 nurses (24%)), 1207 (82%) completed the questionnaire. In all patient categories, hypotension definitions were predominantly based on an absolute MAP of 65 mmHg, except for the neuro(trauma) category (75 mmHg, p < 0.001), without differences between answers from physicians and nurses. Hypotension incidence was estimated at 55%, and time per day spent in hypotension at 15%, both with nurses reporting higher percentages than physicians (estimated mean difference 5%, p = 0.01; and 4%, p < 0.001). Conclusions: An absolute MAP threshold of 65 mmHg is most frequently used to define hypotension in ICU patients. In neuro(trauma) patients a higher threshold was reported. The majority of ICU patients are estimated to endure hypotension during their ICU admission for a considerable amount of time, with nurses reporting a higher estimated incidence and time spent in hypotension than physicians.

AB - Introduction: Although hypotension in ICU patients is associated with adverse outcome, currently used definitions are unknown and no universally accepted definition exists. Methods: We conducted an international, peer-reviewed survey among ICU physicians and nurses to provide insight in currently used definitions, estimations of incidence, and duration of hypotension. Results: Out of 1394 respondents (1055 physicians (76%) and 339 nurses (24%)), 1207 (82%) completed the questionnaire. In all patient categories, hypotension definitions were predominantly based on an absolute MAP of 65 mmHg, except for the neuro(trauma) category (75 mmHg, p < 0.001), without differences between answers from physicians and nurses. Hypotension incidence was estimated at 55%, and time per day spent in hypotension at 15%, both with nurses reporting higher percentages than physicians (estimated mean difference 5%, p = 0.01; and 4%, p < 0.001). Conclusions: An absolute MAP threshold of 65 mmHg is most frequently used to define hypotension in ICU patients. In neuro(trauma) patients a higher threshold was reported. The majority of ICU patients are estimated to endure hypotension during their ICU admission for a considerable amount of time, with nurses reporting a higher estimated incidence and time spent in hypotension than physicians.

KW - Blood pressure

KW - Critical care

KW - Hypotension

KW - Intensive care units

KW - Surveys and questionnaires

UR - http://www.scopus.com/inward/record.url?scp=85108072635&partnerID=8YFLogxK

U2 - 10.1016/j.jcrc.2021.05.023

DO - 10.1016/j.jcrc.2021.05.023

M3 - Article

C2 - 34148010

VL - 65

SP - 142

EP - 148

JO - Journal of critical care

JF - Journal of critical care

SN - 0883-9441

ER -

ID: 18757331