Perioperative medicine & outcomes
Continuous Vital Sign Monitoring at the Surgical Ward for Improved Outcomes After Major Noncardiac Surgery: A Randomized Clinical Trial
Authors' conclusion
Continuous vital sign monitoring with real-time staff alerts did not significantly reduce cumulative severe vital sign deviations in this setup.
Study context
- Population
- Adults undergoing major noncardiac surgery, general postoperative wardrandomized
- Participants
- 400 adults
- Comparison
- Intervention vs Control
- Interventionn = 200
- Controln = 200reference
- Primary endpoint
- Cumulative duration of severe vital sign deviations (desaturation, tachy-/bradycardia, tachy-/bradypnea, hypo-/hypertension)
Methodological detailspatient- and outcome assessor-blinded
- Patient- and outcome assessor-blinded
Primary result
As reported in the abstract
Duration of severely deviating vital signs
P = 0.19
Secondary outcomes
- Mean reduction in duration of SpO2 <88%
- 47 minutes per day
- 95% CI 18-80
- P = .02
Safety
Adverse events · 30 days
- Adverse events occurred in 42.5% vs 31.5% of patients (P = .02)
Serious adverse events · 30 days
- Serious adverse events in 34.5% vs 29.5% (P = .39)
Original publication
Continuous Vital Sign Monitoring at the Surgical Ward for Improved Outcomes After Major Noncardiac Surgery: A Randomized Clinical Trial. Anesth Analg. Published 1 July 2025. doi:10. 1213/ ane. 0000000000007606
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