Research Article

Association between the Systolic Blood Pressure Trajectory and Risk of Stroke in a Health-Management Population in Jiaozuo, China

Table 1

Summary of the advantages and challenges of the SBP trajectories in the literature.

No.AuthorObjectAdvantagesChallenges

1Cederholm et al. [13]To estimate the risks of fatal/nonfatal coronary heart disease (CHD), stroke, and cardiovascular disease (CVD) according to the SBP in an observational study of patients with type 2 diabetesThe follow-up data captured were based on national registries of morbidity and mortality, which have a high quality and coverage rateThe type and amount of antihypertensive drugs used in the analysis were unclear

2Portegies et al. [14]To identify the long-term trajectories of blood pressure in a population-based study and to examine the risk of stroke within those trajectories(1) The study population was large(1) The number of stroke subtypes examined was too small
(2) The data were comprehensive(2) We did not have information about blood pressure at earlier ages
(3) The follow-up period was long

3Xu et al. [21]To describe the blood pressure trajectory of patients with ischemic stroke with high blood pressure in the first 7 days of admission and to examine its relationship with clinical outcomesIt highlights the superiority of SBP trajectories over BP levels and single-day variations using a single value(1) Small sample size
(2) Changes in blood pressure during the acute phase caused by BP-lowering medications were not considered
(3) The results may be influenced by selection bias and potential confounding factors
4Tanaka et al. [27]The objective of this study was to highlight the heterogeneity of temporal SBP changes in the ATACH-2 trial using GBTM and to analyze the associations with the outcomes of acute intracerebral hemorrhageThe determination of the SBP trajectory grouping was less arbitraryThe results may not be totally applicable to lobar ICH patients because of the low proportion of lobar ICH in ATACH-2
5Lee et al. [28]To describe the patterns of BP changes up to 1 year after ischemic stroke using group-based trajectory models and to explore the associations between the BP trajectory group and poststroke cardiovascular outcomesThe results of the study are robust(1) The sample selection is biased
(2) The generalizability of the results of the study to the entire population of patients with stroke may be limited
6Wang et al. [29]To investigate whether the long-term trajectories of a high SBP can further predict the risk of all-cause death in Chinese adultsLarge sample size(1) A specific classification of the causes of death is not given
(2) The follow-up period was relatively short for SBP trajectory patterns
7Kim et al. [30]To explore the relationship between different trajectory groups and stroke characteristics and the risk of subsequent recurrent vascular events(1) This is the first study to apply group-based trajectory models to investigate the heterogeneity in SBP trajectories during the acute stroke period(1) An analysis of increasing antihypertensive drugs, as well as other influencing factors, was not performed
(2) The findings may be generalizable to patients with acute stroke in Korea(2) Studies may have limited generalizability