Intermittent documentation of blood pressure values does not provide comprehensive evaluation of the hemodynamic response during continuous intravenous medication administration
Abstract Blood pressure (BP) is a dynamic measure that is frequently discussed in static terms. There exist many limitations in current documentation systems whereby documented BP values may not be reflective of the dynamic variability of BP. This study used an observational, prospective, non-random...
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Nature Portfolio
2025-01-01
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| author | Brittany R. Doyle Emerson B. Nairon Erica Jones Amber Salter DaiWai M. Olson |
| author_facet | Brittany R. Doyle Emerson B. Nairon Erica Jones Amber Salter DaiWai M. Olson |
| author_sort | Brittany R. Doyle |
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| description | Abstract Blood pressure (BP) is a dynamic measure that is frequently discussed in static terms. There exist many limitations in current documentation systems whereby documented BP values may not be reflective of the dynamic variability of BP. This study used an observational, prospective, non-randomized study design to examine the variability in BP response during intravenous vasoactive medication administration in an intensive care unit setting. Subjects admitted to a neuroscience intensive care unit were monitored continuously during a 12-hour period. The BP values include systolic BP, diastolic BP, and mean arterial pressure. Intermittent values from an intra-arterial figurecatheter (a-line) and continuously sampled values from an a-line obtained using continuous data acquisition (CDA) software, were compared to intermittently sampling of cuff-based BP measurements documented in the medical record. The 30 patients provided 1,220,511 BP observations from CDA, 944 from a-line documentation, and 416 from cuff-based BP documentation. The systolic BP was used as a goal parameter for 23 (77%) of the patients. Repeated measures models demonstrated that on average cuff-based differed from intermittent a-line and from CDA (p < .005) for all BP values. No differences between a-line and CDA were observed. Concordance correlation coefficients ranged from 0.56 to 0.72 for a-line, cuff-based BP, and CDA, indicating moderate agreement. Using intermittently documented BP values does not fully represent the dynamic nature of BP over time. |
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| institution | Kabale University |
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| language | English |
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| spelling | doaj-art-6a35503bd12543ecafc7fce77b0f6d2d2025-01-26T12:32:24ZengNature PortfolioScientific Reports2045-23222025-01-011511810.1038/s41598-025-87606-3Intermittent documentation of blood pressure values does not provide comprehensive evaluation of the hemodynamic response during continuous intravenous medication administrationBrittany R. Doyle0Emerson B. Nairon1Erica Jones2Amber Salter3DaiWai M. Olson4Department of Nursing, University of Texas Southwestern Medical CenterDepartment of Neurology, University of Texas Southwestern Medical CenterDepartment of Neurology, University of Texas Southwestern Medical CenterDepartment of Neurology, University of Texas Southwestern Medical CenterDepartment of Neurology, University of Texas Southwestern Medical CenterAbstract Blood pressure (BP) is a dynamic measure that is frequently discussed in static terms. There exist many limitations in current documentation systems whereby documented BP values may not be reflective of the dynamic variability of BP. This study used an observational, prospective, non-randomized study design to examine the variability in BP response during intravenous vasoactive medication administration in an intensive care unit setting. Subjects admitted to a neuroscience intensive care unit were monitored continuously during a 12-hour period. The BP values include systolic BP, diastolic BP, and mean arterial pressure. Intermittent values from an intra-arterial figurecatheter (a-line) and continuously sampled values from an a-line obtained using continuous data acquisition (CDA) software, were compared to intermittently sampling of cuff-based BP measurements documented in the medical record. The 30 patients provided 1,220,511 BP observations from CDA, 944 from a-line documentation, and 416 from cuff-based BP documentation. The systolic BP was used as a goal parameter for 23 (77%) of the patients. Repeated measures models demonstrated that on average cuff-based differed from intermittent a-line and from CDA (p < .005) for all BP values. No differences between a-line and CDA were observed. Concordance correlation coefficients ranged from 0.56 to 0.72 for a-line, cuff-based BP, and CDA, indicating moderate agreement. Using intermittently documented BP values does not fully represent the dynamic nature of BP over time.https://doi.org/10.1038/s41598-025-87606-3Blood pressureStrokeBlood pressure monitoringIntensive care medicineClinical observationNeurocritical care |
| spellingShingle | Brittany R. Doyle Emerson B. Nairon Erica Jones Amber Salter DaiWai M. Olson Intermittent documentation of blood pressure values does not provide comprehensive evaluation of the hemodynamic response during continuous intravenous medication administration Scientific Reports Blood pressure Stroke Blood pressure monitoring Intensive care medicine Clinical observation Neurocritical care |
| title | Intermittent documentation of blood pressure values does not provide comprehensive evaluation of the hemodynamic response during continuous intravenous medication administration |
| title_full | Intermittent documentation of blood pressure values does not provide comprehensive evaluation of the hemodynamic response during continuous intravenous medication administration |
| title_fullStr | Intermittent documentation of blood pressure values does not provide comprehensive evaluation of the hemodynamic response during continuous intravenous medication administration |
| title_full_unstemmed | Intermittent documentation of blood pressure values does not provide comprehensive evaluation of the hemodynamic response during continuous intravenous medication administration |
| title_short | Intermittent documentation of blood pressure values does not provide comprehensive evaluation of the hemodynamic response during continuous intravenous medication administration |
| title_sort | intermittent documentation of blood pressure values does not provide comprehensive evaluation of the hemodynamic response during continuous intravenous medication administration |
| topic | Blood pressure Stroke Blood pressure monitoring Intensive care medicine Clinical observation Neurocritical care |
| url | https://doi.org/10.1038/s41598-025-87606-3 |
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