Key result
Admission 24-hour systolic blood pressure, but not casual blood pressure, significantly predicted 30-day death or dependency following acute stroke (OR 1.88 per 10-mm-Hg increase; 95% CI 1.27-2.78).
Why the study?
Does 24-hour blood pressure recording better predict 30-day mortality, dependency, and neurological outcome compared to casual blood pressure recording in patients with acute stroke?
Population
136 consecutive patients assessed within 24 hours of acute stroke
Comparison
24-hour blood pressure recording vs Casual blood pressure recording
Design
Cohort
Follow-up
30 days
Authors
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May aid short-term prognostication after acute stroke; leaves open whether 24-hour BP-guided therapy improves outcomes.
Observational (n=136)
Does 24-hour blood pressure recording better predict 30-day mortality, dependency, and neurological outcome compared to casual blood pressure recording in patients with acute stroke?
Effect estimate: OR 1.88 (95% CI 1.27-2.78)
24-hour systolic blood pressure levels following acute stroke are a significant predictor of 30-day mortality and dependency, outperforming casual blood pressure measurements.
Robinson et al. (1997) conducted an observational in Acute stroke (n=136). 24-hour blood pressure recording vs. Casual blood pressure recording was evaluated on 30-day mortality, dependency and neurological outcome (OR 1.88, 95% CI 1.27-2.78). Admission 24-hour systolic blood pressure, but not casual blood pressure, significantly predicted 30-day death or dependency following acute stroke (OR 1.88 per 10-mm-Hg increase; 95% CI 1.27-2.78).
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