Perioperative medicine & outcomes

Continuous vs Intermittent Postoperative Vital Sign Monitoring: A Cluster Randomized Crossover Trial

JAMA Netw OpenPublished Randomised controlled trial

Authors' conclusion

In this cluster randomized crossover trial of continuous compared with intermittent vital sign monitoring, continuous monitoring reduced the duration of desaturation in patients recovering from noncardiac surgery on general hospital wards.

Study context

Population
Patients recovering from noncardiac surgery on general hospital wards
Participants
798 patients
Comparison
Continuous unblinded vs intermittent vital sign monitoring
  • Unblinded continuous monitoringn = 404
  • Blinded intermittent monitoringn = 394reference
Primary endpoint
Durations of hypotension, hypoxemia and tachycardia exceeding alert thresholds
Follow-up
Initial 48 hours of ward admission or until the third postoperative morning
Methodological detailsmultiple crossover, cluster, 2 postoperative hospital wards
  • Multiple crossover
  • Cluster
  • 2 postoperative hospital wards

Primary result

Duration of oxygen saturation <90% · 48 hours

Geometric means ratio

0.86

95% CI 0.78–0.95

P = 0.002

By group

As reported in the abstract

Secondary outcomes

New oxygen therapy

Interventions

Number of interventions similar

Original publication

Continuous vs Intermittent Postoperative Vital Sign Monitoring: A Cluster Randomized Crossover Trial. JAMA Netw Open. Published 2 March 2026. doi:10.1001/jamanetworkopen.2026.3290

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