Neuroanesthesia & neurocritical care

Effect of blood pressure threshold on adverse outcomes in patients with acute spinal cord injury: a systematic review and meta-analysis

Crit CarePublished Systematic review and meta-analysis

Authors' conclusion

Lower blood pressure thresholds were consistently associated with worse functional outcomes in patients with acute SCI.

Study context

Population
Patients ≥ 16yrs with acute traumatic and non-traumatic spinal cord injury (SCI)14 studies in quantitative analysis
Participants
2,553 patients
Comparison
Below vs above blood pressure threshold
Outcome
Adverse functional outcome by blood pressure threshold
Follow-up
Up to one-year post-injury
Methodological detailsrandom-effect model, PRISMA and MOOSE guidelines, Risk of bias low to moderate in most studies
  • Random-effect model
  • PRISMA and MOOSE guidelines
  • Risk of bias low to moderate in most studies

Pooled result

As reported in the abstract

Adverse functional outcomes
Estimate (95% CI)
Below threshold vs Above threshold
uOR 3.28(2.39–4.50)
Below threshold vs Above threshold
aOR 1.04(1.03–1.05)

Further pooled results

Adverse outcomes across subgroups (subgroup)

Lower blood pressure thresholds associated with worse outcomes across all subgroups

Original publication

Effect of blood pressure threshold on adverse outcomes in patients with acute spinal cord injury: a systematic review and meta-analysis. Crit Care. Published 16 July 2025. doi:10.1186/s13054-025-05531-3

Composed by AI from the published abstract and checked against it. How Briefs are made →

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