Prospective Evaluation of 24 h/2 Days’ Monitoring of Systemic Blood Pressure in Patients with Traumatic Paraplegia – A Single-center Study
| Autor: | Vandana Chaudhary, N S Verma, Bhupendra Kumar, Kumar Rahul, Satish Kumar |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Journal of Orthopedics, Traumatology and Rehabilitation, Vol 15, Iss 2, Pp 171-176 (2023) |
| Druh dokumentu: | article |
| ISSN: | 0975-7341 2347-3746 |
| DOI: | 10.4103/jotr.jotr_70_22 |
| Popis: | Background: Cardiovascular dysfunction and cognitive decline are more common in traumatic spinal cord injury (SCI). Most of people with a cervical or upper-thoracic SCI usually experience orthostatic hypotension and autonomic dysreflexia, which are described by changes in systemic blood pressure (BP). Objectives: The objective of the study is to evaluate baseline heart rate (HR), baseline BP, and ambulatory arterial blood pressure monitoring (ABPM) in traumatic paraplegia patients. Materials and Methods: We enrolled 36 patients of traumatic paraplegia patients, paralyzed by Road traffic accident or fall from height within 7 days of trauma. Inclusion criteria were based on Asia Impairment Scale. The BP was monitored for 24 h/2 days and repeated on 12th day of first monitoring. Ambulatory BP was monitored by ABPM machine at ½ hourly from 6 am to 10 pm and 1 hourly from 10 pm to 6 am. The continuous variables were statistically analyzed and compared by t-test. Results: The night dipping (Systole) and morning surge (Systole) were significantly lower on 12th day as compared to within 7 days (P = 0.002) whereas the diurnal index (diastole) and diurnal index (mean arterial pressure) were comparable in between within 7 days and 12th day. The mean systolic BP (SBP) maximum and SBP minimum were significantly lower at 12th day as compared to within 7 days, whereas diastolic BP maximum and minimum were comparable in between within 7 days and at 12th day. The changes in minimum, maximum and mean double product (all, active periods, and passive periods) were not found statistically significant in between within 7 days and at 12th day. Conclusion: Traumatic paraplegic patients have altered diurnal index, morning surge, night dipping, and SBP on APBM monitoring. |
| Databáze: | Directory of Open Access Journals |
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