Hemodynamics, fluids & transfusion

Endotypes of intraoperative hypotension during major abdominal surgery: a retrospective machine learning analysis of an observational cohort study

Br J AnaesthPublished Secondary analysis of a prospective observational cohort study

Authors' conclusion

Hierarchical clustering identified six endotypes of intraoperative hypotension.

Study context

Population
Patients having major abdominal surgery under GA82 with hypotension
Participants
100 patients
Primary endpoint
Endotypes of intraoperative hypotension (MAP ≤65 mm Hg, or 66–75 mm Hg requiring norepinephrine >0.1 μg kg-1 min-1) identified by hierarchical clustering
Methodological detailsretrospective, machine learning, hierarchical clustering (Ward's method)
  • Retrospective
  • Machine learning
  • Hierarchical clustering (Ward's method)

Primary result

As reported in the abstract

Intraoperative hypotension endotypes

Episodes of intraoperative hypotension

615

Distinct endotypes identified

6

Original publication

Endotypes of intraoperative hypotension during major abdominal surgery: a retrospective machine learning analysis of an observational cohort study. Br J Anaesth. Published 6 December 2022. doi:10.1016/j.bja.2022.07.056

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