Percentage of adult patients where intraoperative hypotension (MAP < 55 mmHg) was sustained for less than 10 minutes.
Intraoperative hypotension is associated with compromised organ perfusion and puts patients at risk for post-operative mortality, cardiac adverse events (CAEs), acute kidney injury, and stroke. Multiple studies have demonstrated the association of a decreased mean arterial pressure and postoperative morbidity and mortality. One retrospective review included 33,000 non-cardiac surgical patients and determined that a mean arterial pressure less than 55mmHG predicted CAEs and adverse renal-related outcomes6. This was confirmed by a distinct investigation of 5000 patients using invasive blood pressure measurement5.
Adult patients requiring anesthesia.
Measure Start Time:
First Blood Pressure Reading after the latest of these 3 times:
* For cesarean delivery cases converted from labor epidural (as determined by Obstetric Anesthesia Type value code:1): Cesarean Delivery Start Time is used as the 'Measure Start Time'
Measure End Time:
* For cesarean delivery cases converted from labor epidural (as determined by Obstetric Anesthesia Type value code:1): The latest Data Capture End (Concept ID: 50379) is used as the 'Measure End Time.'
*This measure will include valid MPOG cases defined by the Is Valid Case phenotype.
Not Applicable
Provider(s) for a given case whose individual cumulative MAP < 55mmHG exceeds the 10 minute timeframe.
Measure Author | Institution |
---|---|
Nirav Shah, MD | University of Michigan |
Nicole Barrios, MHA, BSN | University of Michigan |
Rob Coleman | University of Michigan |
MPOG Quality Committee |
Date Reviewed | Reviewer | Institution | Summary | QC Vote |
---|---|---|---|---|
TBD | TBD | TBD | TBD | TBD |
Date Revised | Criteria | Revision |
---|---|---|
9/5/2023 | Initial Publication |