Perioperative medicine & outcomes

Continuous Vital Sign Monitoring at the Surgical Ward for Improved Outcomes After Major Noncardiac Surgery: A Randomized Clinical Trial

Anesth AnalgPublished Randomised controlled 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

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.