Hemodynamics, fluids & transfusion

Performance of the Hypotension Prediction Index as an indicator of hypotensive haemodynamic instability in surgical patients

Perioper Med (Lond)Published Retrospective analysis

Authors' conclusion

The Hypotension Prediction Index predicts the upcoming hypotensive haemodynamic instability events with high accuracy.

Study context

Population
Cardiac and non-cardiac surgical patients monitored with Hypotension Prediction Index (HPI) technology
Participants
1,683 participants
Exposure
Invasive A-line vs Non-invasive finger cuff
  • Invasive A-linen = 871
  • Non-invasive finger cuffn = 812
Outcome
Proportion of HPI alerts (thresholds 85 and 50) followed by haemodynamic instability (MAP < 65 mmHg, SVV ≥ 13%, CI ≤ 2 L·min-1·m-2, SVR ≤ 800 dyn·s·cm-5)
Follow-up
15 min

Main finding

As reported in the abstract

HPI alerts followed by haemodynamic instability

HPI threshold 85

HPI threshold 50

Observational data: associations, not effects.

Original publication

Performance of the Hypotension Prediction Index as an indicator of hypotensive haemodynamic instability in surgical patients. Perioper Med (Lond). Published 25 February 2026. doi:10.1186/s13741-026-00661-w

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