Key result
Joint guidelines recommend that elective surgery should proceed if primary care records document blood pressure <160/100 mmHg in the past 12 months, or <180/110 mmHg when measured in clinic.
Why the study?
Does proceeding with elective surgery in patients with stage 1 or 2 hypertension increase perioperative complications compared to postponing surgery?
Does proceeding with elective surgery in patients with stage 1 or 2 hypertension increase perioperative complications compared to postponing surgery?
Elective surgery should not be cancelled for stage 1 or 2 hypertension (BP <180/110 mmHg in clinic or <160/100 mmHg in primary care) as there is no evidence that acute blood pressure reduction improves perioperative outcomes.
elective surgery should proceed for patients who attend the preoperative assessment clinic without documentation of normotension in primary care if their blood pressure is <180 mmHg systolic and <110 mmHg diastolic when measured in clinic."
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McCormack et al. (2016) conducted an editorial in Hypertension before elective surgery. Preoperative blood pressure guidelines was evaluated. Joint guidelines recommend that elective surgery should proceed if primary care records document blood pressure <160/100 mmHg in the past 12 months, or <180/110 mmHg when measured in clinic.
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