Perioperative medicine & outcomes
Continuous vital sign monitoring of patients recovering from surgery on general wards: a narrative review
Authors' conclusion
Evidence from before and after studies and retrospective propensity-matched data suggests that continuous ward monitoring decreases the risk of intensive care unit (ICU) admissions, rapid response calls, and in some instances, mortality.
Study context
- Population
- Patients recovering from surgery on general wards
- Comparison
- Continuous vs intermittent vital sign monitoring on general wards
Main finding
As reported in the abstract
- Before-and-after studies and retrospective propensity-matched data suggest continuous ward monitoring decreases the risk of intensive care unit (ICU) admissions, rapid response calls and, in some instances, mortality
- Intermittent checks (each shift or maximally every 4-6 h) miss prolonged periods of subtle physiological change that can herald a critical event
- Challenges: connectivity, data handling, alarm fatigue, information overload, lack of meaningful clinical interventions
Original publication
Continuous vital sign monitoring of patients recovering from surgery on general wards: a narrative review. Br J Anaesth. Published 7 January 2025. doi:10. 1016/ j. bja. 2024. 10. 045
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