Percentage of patients where intraoperative hypotension (MAP < 65 mmHg) was avoided (defined as <15 minutes cummulatively).
Intraoperative hypotension (MAP < 65mmHg) is associated with compromised organ perfusion and puts patients at risk for post-operative mortality, cardiac adverse events (CAEs) and acute kidney injury (AKI). Multiple studies have addressed the impact of hypotension on patient outcomes and generally show less CAEs, AKI, and death by maintaining a MAP above 60-70mmHg.1,2 One retrospective cohort analysis, including 57,315 non-cardiac surgical patients, demonstrated a MAP of less than 65mmHg was associated with a higher incidence of myocardial and kidney injury and the duration of low MAP significantly increases the odds of the aforementioned outcomes.3 Furthermore, a retrospective review including 33,330 non-cardiac surgical patients determined that a MAP less than 65mmHg for any duration was associated with similar adverse outcomes4
Intraoperative. See ‘Other Measure Build Details’ for more information.
All patients requiring anesthesia, general, neuraxial, monitored anesthesia care (MAC), or regional.
*Cases where the ‘Measure End Time’ precedes ‘Measure Start Time’ will be excluded and marked 'invalid'
Measure Start Time:
First Blood Pressure Reading after the latest of these 3 times:
* For labor epidurals which convert to cesarean deliveries where the procedures are combined under one case ID, 'Cesarean Delivery Start Time' is used as the 'Measure Start Time'
Measure End Time:
* For labor epidurals which convert to cesarean deliveries where the procedures are combined under one case ID, the latest 'data capture end' is used as the 'Measure End Time' when appropriate (all other cases use logic from 'Data Capture End' phenotype)
Not applicable.
All providers for a given case whose individual cumulative MAP < 65mmHG exceeds the 15-minute timeframe.
Measure Author | Institution |
Nirav Shah, MD |
University of Michigan |
Kate Buehler, RN |
University of Michigan |
Mark Dehring |
University of Michigan |
Sachin Kheterpal, MD |
University of Michigan |
MPOG Quality Committee |
Date Reviewed | Reviewer | Institution | Summary | QC Vote |
---|---|---|---|---|
09/26/2022 |
Kamal Maheshwari, MD |
Cleveland Clinic |
No Change |
Date | Criteria Updated | Revision |
---|---|---|
07/12/2022 | Exclusion | Added BP First in Room value as backup to Preop Blood Pressure Mean |
06/09/2022 | Exclusion | Modified to use new phenotype Preop Blood Pressure Mean |
06/21/2021 | Exclusion | Modified to consider Obstetric Anesthesia Type Phenotype; Valid measure duration |