The Goldilocks principle as it applies to perioperative blood pressure: What is too high, too low, or just right?

B. J. Sweitzer, S. J. Howell*

*Corresponding author for this work

Research output: Contribution to journalEditorialpeer-review

4 Scopus citations
Original languageEnglish (US)
Pages (from-to)7-10
Number of pages4
JournalBritish journal of anaesthesia
Volume119
Issue number1
DOIs
StatePublished - Jul 1 2017

Funding

Useful insights on associations between perioperative BP management and outcomes have been gained from studies using Anaesthesia Information Management Systems. 19 Such systems have yet to be widely implemented in the UK. However, the UK has considerable strength in the area of electronic patient records in primary and community care. Computerized records are the norm in this setting and large anonymized databases such as ResearchOne and the CPRD are available for research. CPRD is jointly funded by the National Health Service National Institute for Health Research (NIHR) and the Medicines and Healthcare products Regulatory Agency (MHRA). The CPRD is a regularly updated database of de-identified primary care health care records from general practitioners from 674 practices caring for >11.3 million patients in England, Wales, Scotland, and Northern Ireland as of mid-2013. This is ~7% of the UK population. Patients in the database are representative of the UK population in terms of age, sex, and ethnicity. 28 The CPRD includes data from routine clinical practice on demographics, symptoms, tests, diagnoses, treatments, and referrals to specialty care. Established in London in 1987, it is one of the largest databases of longitudinal medical records from primary care in the world. If a practitioner opts into the system, all patients under his/her care are included unless they individually request not to be. Data are collected by practices and typically uploaded to the CPRD secure servers monthly. The quality of some data is monitored by CPRD internal processes and the Quality and Outcomes Framework in the UK.

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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