Hemodynamics, fluids & transfusion

Hypotension during intensive care stay and mortality and morbidity: a systematic review and meta-analysis

Intensive Care MedPublished Systematic review and meta-analysis

Pooled result · MortalityResult — go to the resultOdds ratio 1.45 95% CI 1.12–1.88

Authors' conclusion

Exposure to hypotension during ICU stay was associated with increased mortality and AKI in the majority of included studies, and associations for both outcomes increased with increasing hypotension severity. The meta-analysis reinforced the descriptive findings regarding mortality but did not yield similar support for AKI.

Study context

Population
Intensive care unit (ICU) patients
Participants
176,329 patients · 122 studies
Comparison
Hypotension vs no hypotension during ICU stay
Outcome
Mortality and morbidity (11 predefined outcomes)
Methodological detailstwo independent reviewers, risk of bias assessment, CENTRAL, Embase and PubMed searched up to October 2022
  • Two independent reviewers
  • Risk of bias assessment
  • CENTRAL, Embase and PubMed searched up to October 2022

Pooled result

Mortality

Odds ratio

1.45

95% CI 1.12–1.88

Hypotension vs No hypotension
OR 1.45 (95% CI 1.12–1.88)

As reported in the abstract

Further pooled results

Acute kidney injury (AKI) (meta-analysis)

No significant association between hypotension and AKI

Original publication

Hypotension during intensive care stay and mortality and morbidity: a systematic review and meta-analysis. Intensive Care Med. Published 22 January 2024. doi:10.1007/s00134-023-07304-4

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