{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:13Z","timestamp":1787071273982,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:00:00Z","timestamp":1730764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>An initial systolic blood pressure (SBP1) of &lt;110 mmHg has been shown to predict mortality. However, SBP1 may not reflect hemodynamic changes during initial resuscitation. We aimed to determine if the second recorded blood pressure (SBP2) could provide additional prognostic value.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An 8-year retrospective chart review was performed including patients who underwent trauma activations at a single institution. The initial systolic blood pressure (SBP 1) and second systolic blood pressure (SBP 2) were analyzed. Difference between the first and second systolic blood pressure (\u0394SBP) was defined as SBP2 \u2212 SBP1. The primary outcome was inhospital mortality, and the secondary outcome was receipt of \u22652 units of blood in the first 4 h of admission. Univariable analysis and logistic regression analysis were performed to assess the relationship of SBP2 and \u0394SBP with the study outcomes. Regression model fit was assessed by the likelihood ratio test and Akaike information criterion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eight thousand seven hundred and ninety-eight patients were included with 12% and 13% presenting with SBP1 &lt;110 mmHg and SBP2 &lt;110 mmHg, respectively. Four hundred and six (5%) died and 327 (4%) received \u22652 units of blood in the first 4 h. The addition of \u0394SBP to regression models improved model fit in explaining the primary and secondary outcomes. Subgroup analysis found that the addition of \u0394SBP improved model fit for those with penetrating mechanism of injury and those with Injury Severity Score of \u22659, but not for those with blunt moderate or severe traumatic brain injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>SBP2 offers additional prognostic value in predicting trauma outcomes. Incorporating subsequent hemodynamic data during resuscitation beyond the initial SBP in trauma databases should be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jets.jets_62_24","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T01:00:09Z","timestamp":1730768409000},"page":"10-14","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Take Two: Second Systolic Blood Pressure Provides Prognostic Information in Trauma"],"prefix":"10.4103","volume":"18","author":[{"given":"Esther J.","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Surgery, Reading Hospital, Reading, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marquis","family":"Winston","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine, Reading Hospital, Reading, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison L.","family":"Muller","sequence":"additional","affiliation":[{"name":"Department of Surgery, Reading Hospital, Reading, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony P.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Reading Hospital, Reading, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher A.","family":"Butts","sequence":"additional","affiliation":[{"name":"Department of Surgery, Reading Hospital, Reading, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene F.","family":"Reilly","sequence":"additional","affiliation":[{"name":"Department of Surgery, Reading Hospital, Reading, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas A.","family":"Geng","sequence":"additional","affiliation":[{"name":"Department of Surgery, Reading Hospital, Reading, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam P.","family":"Sigal","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Reading Hospital, Reading, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian W.","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Reading Hospital, Reading, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"R1-20260422","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/s40719-018-0127-1","article-title":"Quality benchmarking in trauma: From the NTDB to TQIP","volume":"4","author":"Hornor","year":"2018","journal-title":"Curr Trauma Rep"},{"key":"R2-20260422","first-page":"291","article-title":"Hypotension begins at 110 mm Hg: Redefining \u201chypotension\u201d with 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