Open AccessBalancing Model Performance and Simplicity to Predict Postoperative Primary Care Blood Pressure Elevation
Author(s) -
Robert B. Schonberger,
Feng Dai,
Cynthia Brandt,
Matthew M. Burg
Publication year - 2015
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000000860
Subject(s) - medicine , blood pressure , confidence interval , referral , perioperative , logistic regression , american society of anesthesiologists , emergency medicine , surgery , intensive care medicine , family medicine
Because of uncertainty regarding the reliability of perioperative blood pressures and traditional notions downplaying the role of anesthesiologists in longitudinal patient care, there is no consensus for anesthesiologists to recommend postoperative primary care blood pressure follow-up for patients presenting for surgery with an increased blood pressure. The decision of whom to refer should ideally be based on a predictive model that balances performance with ease-of-use. If an acceptable decision rule was developed, a new practice paradigm integrating the surgical encounter into broader public health efforts could be tested, with the goal of reducing long-term morbidity from hypertension among surgical patients.