Unique ID issued by UMIN | UMIN000058155 |
---|---|
Receipt number | R000066475 |
Scientific Title | Determination of Heart Rate Cutoff Values and Elucidation of the Interaction Between Heart Rate and Blood Pressure During Anesthesia |
Date of disclosure of the study information | 2025/06/12 |
Last modified on | 2025/06/12 10:19:52 |
Determination of Heart Rate Cutoff Values and Elucidation of the Interaction Between Heart Rate and Blood Pressure During Anesthesia
Determination of Heart Rate Cutoff Values and Elucidation of the Interaction Between Heart Rate and Blood Pressure During Anesthesia
Determination of Heart Rate Cutoff Values and Elucidation of the Interaction Between Heart Rate and Blood Pressure During Anesthesia
Determination of Heart Rate Cutoff Values and Elucidation of the Interaction Between Heart Rate and Blood Pressure During Anesthesia
Japan |
Tachycardia, bradycardia, hypertension, and hypotension
Anesthesiology |
Others
NO
This study aims to elucidate the following two objectives using the perioperative dataset from the University of Tsukuba Hospital:
To clarify the association between intraoperative heart rate and patient outcomes, and to identify cutoff values for bradycardia and tachycardia. (Objective 1)
To investigate whether intraoperative heart rate modifies the relationship between intraoperative hypotension and patient outcomes. (Objective 2)
While intraoperative hypotension has been suggested to adversely affect patient outcomes, prompting anesthesiologists to manage blood pressure more rigorously, bradycardia is often overlooked. As a result, current circulatory management during anesthesia may have become unbalanced due to the growing body of evidence focusing primarily on blood pressure. If this study reveals appropriate heart rate management targets or clarifies how heart rate influences the effects of hypotension, it could fundamentally change current assumptions regarding the selection of vasopressors during surgery.
Others
To clarify the association between intraoperative heart rate and patient outcomes, and to identify cutoff values for bradycardia and tachycardia. (Objective 1)
To investigate whether intraoperative heart rate modifies the relationship between intraoperative hypotension and patient outcomes. (Objective 2)
Occurrence of major postoperative complications (defined as any of the following: death, cardiovascular complications, or acute kidney injury)
>Postoperative mortality
>Occurrence of cardiovascular complications (e.g., myocardial infarction, stroke, etc.)
>Acute kidney injury
>Length of hospital stay
As this is an exploratory study, other clinically important complications will also be examined and evaluated as appropriate.
Observational
Not applicable |
Not applicable |
Male and Female
Patients who underwent surgery under general anesthesia at the University of Tsukuba Hospital between April 1, 2012, and March 31, 2023.
If a patient underwent multiple surgeries during a single hospitalization, only the first surgery will be included in the analysis.
Patients with errors or missing values in key data (e.g., age, sex, BMI, ASA-PS, etc.)
50000
1st name | Kensuke |
Middle name | |
Last name | Shimada |
University of Tsukuba
Institute of Medicine
305-8575
1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
+81-29-853-3914
kensukeshimada@gwe.tsukuba.ac.jp
1st name | Kensuke |
Middle name | |
Last name | Shimada |
University of Tsukuba
Institute of Medicine
305-8575
1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
+81-29-853-3914
kensukeshimada@gwe.md.tsukuba.ac.jp
University of Tsukuba
Ministry of Education, Culture, Sports, Science and Technology
Japanese Governmental office
University of Tsukuba Hospital
2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan
+81-29-853-3914
kensukeshimada@gwe.md.tsukuba.ac.jp
NO
2025 | Year | 06 | Month | 12 | Day |
Unpublished
Preinitiation
2025 | Year | 03 | Month | 24 | Day |
2025 | Year | 04 | Month | 17 | Day |
2025 | Year | 06 | Month | 20 | Day |
2027 | Year | 03 | Month | 31 | Day |
This study uses the dataset created by the "Large-scale observational study on the quality of perioperative care using perioperative dataset from the University of Tsukuba Hospital (R03-068)".
2025 | Year | 06 | Month | 12 | Day |
2025 | Year | 06 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066475