Perioperative medicine & outcomes

Continuous vital sign monitoring of patients recovering from surgery on general wards: a narrative review

Br J AnaesthPublished 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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