Continuous monitoring is superior to manual measurements in detecting vital sign deviations in patients with COVID‐19
Authors' conclusion
Episodes of desaturation and tachypnea in hospitalized patients with COVID-19 infection are common and often not detected by routine measurements.
Study context
- Population
- Patients hospitalised with COVID-19 infection admitted to the emergency care setting
- Exposure
- Continuous wireless monitoring vs manual National Early Warning Score (NEWS) point measurements
- Outcome
- Frequency and duration of vital sign deviations
Main finding
As reported in the abstract
Frequency of vital sign deviations detected
SpO2 < 92% >60 min
RR > 24/min >5 min
HR ≥ 111 >60 min
- Continuously monitored (CM) vs NEWS: P < 0.00001 — SpO2 < 92% for more than 60 min
- CM vs NEWS: P = 0.0001 — RR > 24 breaths per minute for more than 5 min
- CM vs NEWS: P = 0.0002 — HR ≥ 111 for more than 60 min
Observational data: associations, not effects.
Further findings
Duration of deviations, ICU admission or fatal outcome vs not (secondary analysis)
- Longer duration of RR > 24 brpm in ICU/fatal outcome
- P = 0.01
- Longer duration of RR > 21 brpm in ICU/fatal outcome
- P = 0.01
- Longer duration of SpO2 < 80% in ICU/fatal outcome
- P = 0.01
- Longer duration of SpO2 < 85% in ICU/fatal outcome
- P = 0.02
Original publication
Continuous monitoring is superior to manual measurements in detecting vital sign deviations in patients with COVID‐19. Acta Anaesthesiol Scand. Published 11 March 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →