Mean BP: Difference between revisions
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The '''mean''' Blood Pressure | {{Data element | ||
|field_name=MBP | |||
|CCMDB_label=<not in CCMDB> | |||
|CCMDB_tab=Apache | |||
|in_table=Created_Variables_CC_2021 table | |||
|data_type=number | |||
|datafield_length=single | |||
|program_collecting=CC | |||
|created_raw=Created | |||
|data_element_sort_index=13 | |||
|element_description=Mean Blood Pressure defined by round(((2x Diastolic) + Systolic)) ÷ 3) | |||
}} | |||
The '''mean''' Blood Pressure as collected for the [[APACHE]] score. | |||
Rounding may not be part of the original definition of Mean BP, but it is how we do it in order to get integers that work with the [[APACHE_Scoring_table#Physiological_Variables| scoring ranges]]. | |||
{{ | == Collection Instructions for mean arterial [[BP]] == | ||
[[Category: APACHE II]] | Collect the blood pressure chosen as per [[Selection and timing of APACHE components]]. | ||
The APACHE II score is based on the worst calculated '''mean BP'''. There is a '''[[BP Helper button]]''' to help pick the Sys/Dia combination for the worst mean BP. | |||
=== artificially changed BPs === | |||
See [[General Collection Guidelines for Apache II#When to collect]] for which value to use. | |||
We don't want values that are changed by interventions already, for example if a patient is in septic shock, you would want the lowest BP as opposed to the highest BP that is '''artificially enhanced by inotropes'''. | |||
=== Blood Pressure when on IAPB (intra aortic balloon pump) === | |||
We want the worst value in the 1st 24 hrs in ICU, so if possible get the '''pre IABP BP'''. If only post IABP BPs are available, use peripheral arterial BP, '''not''' aortic pressure. | |||
{{APACHE physiological variable | |||
|AP phys name=mean blood pressure | |||
|AP phys unit=mmHG | |||
|AP H4= >=160 | |||
|AP H3= >=130 and <160 | |||
|AP H2= >=110 and <130 | |||
|AP 0= >=70 and <110 | |||
|AP L2= >=50 and <70 | |||
|AP L4= <49 | |||
}} | |||
== In CFE == | |||
The mean BP is calculated automatically in [[CFE]] by [[Created_Variables_CC_maker_2021 query]] and stored there in [[Created_Variables_CC_2021 table]]. | |||
== Related articles == | |||
{{Related Articles}} | |||
[[Category:APACHE II Physiological Variables]] | |||
[[Category:Blood Pressure-APACHE]] | |||
[[Category:Created Variables]] | |||
Latest revision as of 14:12, 2023 April 19
| Data Element (edit) | |
| Field Name: | MBP |
| CCMDB Label: | <not in CCMDB> |
| CCMDB tab: | Apache |
| Table: | Created_Variables_CC_2021 table |
| Data type: | number |
| Length: | single |
| Program: | CC |
| Created/Raw: | Created |
| Start Date: | 1988-07-11 |
| End Date: | 2300-01-01 |
| Sort Index: | 13 |
Mean Blood Pressure defined by round(((2x Diastolic) + Systolic)) ÷ 3)
The mean Blood Pressure as collected for the APACHE score.
Rounding may not be part of the original definition of Mean BP, but it is how we do it in order to get integers that work with the scoring ranges.
Collection Instructions for mean arterial BP
Collect the blood pressure chosen as per Selection and timing of APACHE components.
The APACHE II score is based on the worst calculated mean BP. There is a BP Helper button to help pick the Sys/Dia combination for the worst mean BP.
artificially changed BPs
See General Collection Guidelines for Apache II#When to collect for which value to use. We don't want values that are changed by interventions already, for example if a patient is in septic shock, you would want the lowest BP as opposed to the highest BP that is artificially enhanced by inotropes.
Blood Pressure when on IAPB (intra aortic balloon pump)
We want the worst value in the 1st 24 hrs in ICU, so if possible get the pre IABP BP. If only post IABP BPs are available, use peripheral arterial BP, not aortic pressure.
| Apache Physiological Variable | |
| variable name | mean blood pressure |
| unit | mmHG |
| absolute max allowed | |
| warning max | |
| high score 4 | >=160 |
| high score 3 | >=130 and <160 |
| high score 2 | >=110 and <130 |
| high score 1 | |
| score 0 | >=70 and <110 |
| low score 1 | |
| low score 2 | >=50 and <70 |
| low score 3 | |
| low score 4 | <49 |
| AP phys warnMin | |
| AP phys absMin | |
APACHE Score
This value is used to generate the APACHE Score.
Collecting Apache physiological variables
There are some specific rules to follow in choosing which one of several lab results to collect.
See APACHE physiological variable collection for details.
Cross Chcks
Rules described in APACHE_physiological_variable_collection#Exceptionally_high_or_low_values are implemented by Check APACHE physiological variable high low.
In CFE
The mean BP is calculated automatically in CFE by Created_Variables_CC_maker_2021 query and stored there in Created_Variables_CC_2021 table.
Related articles
| Related articles: |
|