Perioperative medicine & outcomes
Postoperative hypotension in patients recovering from noncardiac surgery: a prospective, blinded observational study
Authors' conclusion
During recovery from noncardiac surgery, postoperative hypotension is common, but rarely severe or prolonged. The incidence of postoperative hypotension progressively decreases from postoperative day 1 to day 3.
Study context
- Population
- Adults recovering from noncardiac surgery
- Participants
- 1,002 adults
- Outcome
- Incidence, duration and severity of postoperative hypotension (MAP <65 mm Hg)
- Follow-up
- First 3 postoperative days
Methodological detailssingle-centre, blinded automated oscillometric BP monitoring at 1-h intervals, From February 2024 to July 2025
- Single-centre
- Blinded automated oscillometric BP monitoring at 1-h intervals
- From February 2024 to July 2025
Main finding
As reported in the abstract
Postoperative hypotension (MAP <65 mm Hg)
- Incidence of postoperative hypotension
- 378/1002 (37.7%)
- Cumulative duration of hypotension, median (25th, 75th percentile), min
- 180 (71, 420)
- Proportion of monitoring time hypotensive, median (25th, 75th percentile)
- 7.1% (3.3%, 16.3%)
- Area under mean arterial pressure (MAP) of 65 mm Hg, median (25th, 75th percentile), mm Hg x min
- 836 (300, 2037)
- Time-weighted average MAP <65 mm Hg, median (25th, 75th percentile), mm Hg
- 0.32 (0.12, 0.73)
Observational data: associations, not effects.
Further findings
Incidence of postoperative hypotension by POD
- POD 1
- 30%
- POD 3
- 17%
- Progressively decreased
Postoperative complications within 7 days (exploratory) · first 7 postoperative days
- Participants with postoperative hypotension had higher rates of AKI and unplanned ICU admissions
- Exploratory
Original publication
Postoperative hypotension in patients recovering from noncardiac surgery: a prospective, blinded observational study. Br J Anaesth. Published 1 June 2026. doi:10. 1016/ j. bja. 2026. 04. 042
Composed by AI from the published abstract and checked against it. How Briefs are made →