Perioperative medicine & outcomes

A comparison between invasive and noninvasive measurement of the Hypotension Prediction Index: A post hoc analysis of a prospective cohort study

Eur J AnaesthesiolPublished Post hoc analysis of a prospective observational study

Primary result · AUC for HPI predictionsResult — go to the resultDifference 1.1 % 95% CI −3.9 to 6.1

Authors' conclusion

Noninvasive HPI is reliably accessible to clinicians during noncardiac surgery, showing comparable accuracy in HPI probabilities and the potential for additional response time.

Study context

Population
Adult noncardiac surgery patients scheduled for elective procedures over 2 h, academic hospital in the Netherlands, 2018–202091 analysed
Participants
105 patients
Comparison
Noninvasive vs invasive BP-derived Hypotension Prediction Index (HPI)
Primary endpoint
Difference in AUC of HPI predictions between the two datasets
Methodological detailssingle-centre
  • Single-centre

Primary result

AUC for HPI predictions

Difference

1.1 %

95% CI −3.9 to 6.1

P = 0.673

By group

Noninvasive HPI vs Invasive HPI
difference 1.1 % (95% CI −3.9 to 6.1); P = 0.673

As reported in the abstract

Further findings

Significantly longer time-to-event estimations for higher HPI values with noninvasive HPI

Original publication

A comparison between invasive and noninvasive measurement of the Hypotension Prediction Index: A post hoc analysis of a prospective cohort study. Eur J Anaesthesiol. Published 16 October 2024. doi:10.1097/eja.0000000000002082

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