Prospective Evaluation of 24 h/2 Days’ Monitoring of Systemic Blood Pressure in Patients with Traumatic Paraplegia – A Single-center Study
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...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-07-01
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| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jotr.jotr_70_22 |
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| Summary: | 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. |
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| ISSN: | 0975-7341 2347-3746 |