Perioperative medicine & outcomes

Abnormal vital signs during recovery from noncardiac surgery on general wards: A blinded prospective observational study

Eur J AnaesthesiolPublished Prospective observational study

Authors' conclusion

Abnormal vital signs were common in patients recovering from noncardiac surgery on general wards. Hypoxaemia and bradypnoea were the most common vital sign abnormalities.

Study context

Population
Adults recovering from noncardiac surgery on general wards, University Medical Center Hamburg-Eppendorf, Germany
Participants
190 adults
Outcome
Percentage of monitoring time with any abnormal vital sign (SpO2 ≤91%, respiratory rate ≤8 or ≥25 breaths per min, SBP ≤90 or ≥220 mmHg, or pulse rate ≤40 or ≥131 beats per min)
Follow-up
Up to 5 postoperative days
Methodological detailssingle-centre, automated blinded continuous monitoring (wearable device)
  • Single-centre
  • Automated blinded continuous monitoring (wearable device)

Main finding

As reported in the abstract

Percentage of monitoring time with any abnormal vital sign

Median [IQR] percentage of monitoring time with any abnormal vital sign

6 [3 to 12]%

Observational data: associations, not effects.

Further findings

Cumulative time with any abnormal vital sign

Median [IQR] cumulative time with any abnormal vital sign
155 [58 to 375] min

Any abnormal vital sign for ≥15 continuous min

Patients with any abnormal vital sign for ≥15 continuous min
74 (39%)

Hypoxaemia

Median [IQR] cumulative time of hypoxaemia
33 [7 to 123] min
Patients with hypoxaemia for ≥15 continuous min
59 (31%)
  • Most frequently observed abnormality, with bradypnoea

Bradypnoea

Median [IQR] cumulative time of bradypnoea
62 [17 to 159] min
Patients with bradypnoea for ≥15 continuous min
19 (10%)

Other vital sign abnormalities

Other vital sign abnormalities were rare

Original publication

Abnormal vital signs during recovery from noncardiac surgery on general wards: A blinded prospective observational study. Eur J Anaesthesiol. Published 30 April 2026. doi:10.1097/eja.0000000000002398

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