Association of Mean Perfusion Pressure Variability and Short-Term Mortality in Critically Ill Patients

Abnormal blood pressure variability (BPV) is associated with various organ injuries, high risk of cardio-cerebrovascular events and mortality. To investigate the association between mean perfusion pressure variability (MPPV) and mortality in critically ill patients admitted to the Intensive Care Unit (ICU), we analyzed data stored in the eICU-CRD database. MPPV was measured as the standard deviation (SD), coefficient of variation (CV), average real variability (ARV) and variation independent of the mean (VIM) of the first 24 hours MPP data within the first 72 hours in the first ICU stay. A total of 6049 patients were included. Apart from SD, survivors had significantly lower MPPV in ARV, CV but higher VIM compared with non-survivors. After accounting for confounders, highest MPPV in decile using four measurements were associated with increased risk of hospital mortality compared with those in the fifth and sixth decile. In addition, lowest MPPV with dimension (mmHg) in decile also correlated to an increase in the risk of hospital mortality compared with the fifth and sixth decile. These relationships remained remarkable in the sensitive analyses. Increased MPPV and decreased MPPV with dimension were associated with short-term mortality in critically ill patients.