{"doi":"10.1093/ajh/hpac106","title":"Within-Person Blood Pressure Variability During Hospitalization and Clinical Outcomes Following First-Ever Acute Ischemic Stroke","abstract":"BACKGROUND: Uncertainty remains over the relationship between blood pressure (BP) variability (BPV), measured in hospital settings, and clinical outcomes following acute ischemic stroke (AIS). We examined the association between within-person systolic blood pressure (SBP) variability (SBPV) during hospitalization and readmission-free survival, all-cause readmission, or all-cause mortality 1 year after AIS. METHODS: In a cohort of 862 consecutive patients (age [mean ± SD] 75 ± 15 years, 55% women) with AIS (2005-2018, follow-up through 2019), we measured SBPV as quartiles of standard deviations (SD) and coefficient of variation (CV) from a median of 16 SBP readings obtained throughout hospitalization. RESULTS: In the cumulative cohort, the measured SD and CV of SBP in mmHg were 16 ± 6 and 10 ± 5, respectively. The hazard ratios (HR) for readmission-free survival between the highest vs. lowest quartiles were 1.44 (95% confidence interval [CI] 1.04-1.81) for SD and 1.29 (95% CI 0.94-1.78) for CV after adjustment for demographics and comorbidities. Similarly, incident readmission or mortality remained consistent between the highest vs. lowest quartiles of SD and CV (readmission: HR 1.29 [95% CI 0.90-1.78] for SD, HR 1.29 [95% CI 0.94-1.78] for CV; mortality: HR 1.15 [95% CI 0.71-1.87] for SD, HR 0.86 [95% CI 0.55-1.36] for CV). CONCULSIONS: In patients with first AIS, SBPV measured as quartiles of SD or CV based on multiple readings throughout hospitalization has no independent prognostic implications for the readmission-free survival, readmission, or mortality. This underscores the importance of overall patient care rather than a specific focus on BP parameters during hospitalization for AIS.","journal":"American Journal of Hypertension","year":2022,"id":285432,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9606,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":56883,"name":"Mohammad Hassan Murad","orcid":"0000-0001-5502-5975","position":1,"is_corresponding":false},{"id":935980,"name":"Jessica Peters","orcid":"0000-0003-1013-6721","position":2,"is_corresponding":false},{"id":964473,"name":"Taylor J Ambriz","orcid":null,"position":3,"is_corresponding":false},{"id":936555,"name":"Katherine R. Blocker","orcid":null,"position":4,"is_corresponding":false},{"id":935982,"name":"Kanika Khandelwal","orcid":"0000-0003-1793-1904","position":5,"is_corresponding":false},{"id":869868,"name":"Sandeep R. Pagali","orcid":"0000-0002-0838-1026","position":6,"is_corresponding":false},{"id":779580,"name":"S. Nanda","orcid":"0000-0003-3363-3982","position":7,"is_corresponding":false},{"id":936557,"name":"Ahmed D. Abdalrhim","orcid":null,"position":8,"is_corresponding":false},{"id":964041,"name":"Urvish Patel","orcid":"0000-0002-6702-298X","position":9,"is_corresponding":false},{"id":423622,"name":"Sagar B. Dugani","orcid":"0000-0001-7858-1317","position":10,"is_corresponding":false},{"id":964042,"name":"Kogulavadanan Arumaithurai","orcid":"0000-0003-3169-7050","position":11,"is_corresponding":false},{"id":364862,"name":"Paul Y. Takahashi","orcid":"0000-0002-1891-309X","position":12,"is_corresponding":false},{"id":108945,"name":"Kianoush Kashani","orcid":"0000-0003-2184-3683","position":13,"is_corresponding":false},{"id":935978,"name":"Mohammed Yousufuddin","orcid":"0000-0002-7496-9856","position":0,"is_corresponding":true}],"reference_count":72,"raw_metadata":null,"created_at":"2026-07-19T00:29:44.944555Z","pmid":"36130108","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}