Only patients with BP below 160/100 should be referred for surgery to avoid cancellations, guidelines say

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GPs should include information on a patient’s blood pressure (BP) in referral letters for elective surgery and should refer only those with BP lower than 160/100 mm Hg over the previous 12 months, say new guidelines that aim to reduce surgery cancellations due to high BP.

guidelines Image source: Anaesthesia

Nearly 1% of planned surgery in the NHS is currently cancelled at the last minute, and hypertension is a common reason.

“Across the UK this equates to approximately 100 concerned and inconvenienced patients each day, with associated costs to the NHS and the national economy,” said the co-chair of the guideline working party, Andrew Hartle, who is a consultant anaesthetist at St Mary’s Hospital in London and president of the Association of Anaesthetists of Great Britain and Ireland.

The guidelines, developed jointly by the association and the British Hypertension Society, give national recommendations for the measurement, diagnosis, and management of raised…

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