1. Association of intraoperative hypotension and severe postoperative complications during non-cardiac surgery in adult patients: A systematic review and meta-analysis
- Author
-
Jianghui Cai, Mi Tang, Huaye Wu, Jing Yuan, Hua Liang, Xuan Wu, Shasha Xing, Xiao Yang, and Xiao-Dong Duan
- Subjects
Intraoperative hypotension ,IOH ,Non-cardiac surgery ,Severe postoperative complications ,Science (General) ,Q1-390 ,Social sciences (General) ,H1-99 - Abstract
Background: Intraoperative hypotension (IOH) is a common side effect of non-cardiac surgery that might induce poor postoperative outcomes. The relationship between the IOH and severe postoperative complications is still unclear. Thus, we summarized the existing literature to evaluate whether IOH contributes to developing severe postoperative complications during non-cardiac surgery. Methods: We conducted a comprehensive search of PubMed, Embase, Cochrane Library, Web of Science, and the CBM from inception to 15 September 2022. The primary outcomes were 30-day mortality, acute kidney injury (AKI), major adverse cardiac events (myocardial injury or myocardial infarction), postoperative cognitive dysfunction (POCD), and postoperative delirium (POD). Secondary outcomes included surgical-site infection (SSI), stroke, and 1-year mortality. Results: 72 studies (3 randomized; 69 non-randomized) were included in this study. Low-quality evidence showed IOH resulted in an increased risk of 30-day mortality (OR, 1.85; 95% CI, 1.30–2.64; P
- Published
- 2023
- Full Text
- View/download PDF