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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| Format: | Article |
| Language: | English |
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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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| author | Vandana Chaudhary N S Verma Bhupendra Kumar Kumar Rahul Satish Kumar |
| author_facet | Vandana Chaudhary N S Verma Bhupendra Kumar Kumar Rahul Satish Kumar |
| author_sort | Vandana Chaudhary |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-18d33704e0f6476d8a1335c2a6f2b00f |
| institution | Kabale University |
| issn | 0975-7341 2347-3746 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopedics, Traumatology and Rehabilitation |
| spelling | doaj-art-18d33704e0f6476d8a1335c2a6f2b00f2025-02-08T05:58:26ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462023-07-0115217117610.4103/jotr.jotr_70_22Prospective Evaluation of 24 h/2 Days’ Monitoring of Systemic Blood Pressure in Patients with Traumatic Paraplegia – A Single-center StudyVandana ChaudharyN S VermaBhupendra KumarKumar RahulSatish KumarBackground: 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.https://journals.lww.com/10.4103/jotr.jotr_70_22blood pressureheart rateparaplegicspinal cord injurytrauma |
| spellingShingle | Vandana Chaudhary N S Verma Bhupendra Kumar Kumar Rahul Satish Kumar Prospective Evaluation of 24 h/2 Days’ Monitoring of Systemic Blood Pressure in Patients with Traumatic Paraplegia – A Single-center Study Journal of Orthopedics, Traumatology and Rehabilitation blood pressure heart rate paraplegic spinal cord injury trauma |
| title | Prospective Evaluation of 24 h/2 Days’ Monitoring of Systemic Blood Pressure in Patients with Traumatic Paraplegia – A Single-center Study |
| title_full | Prospective Evaluation of 24 h/2 Days’ Monitoring of Systemic Blood Pressure in Patients with Traumatic Paraplegia – A Single-center Study |
| title_fullStr | Prospective Evaluation of 24 h/2 Days’ Monitoring of Systemic Blood Pressure in Patients with Traumatic Paraplegia – A Single-center Study |
| title_full_unstemmed | Prospective Evaluation of 24 h/2 Days’ Monitoring of Systemic Blood Pressure in Patients with Traumatic Paraplegia – A Single-center Study |
| title_short | Prospective Evaluation of 24 h/2 Days’ Monitoring of Systemic Blood Pressure in Patients with Traumatic Paraplegia – A Single-center Study |
| title_sort | prospective evaluation of 24 h 2 days monitoring of systemic blood pressure in patients with traumatic paraplegia a single center study |
| topic | blood pressure heart rate paraplegic spinal cord injury trauma |
| url | https://journals.lww.com/10.4103/jotr.jotr_70_22 |
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