Organ support & nutrition

Impact of continuous and wireless monitoring of vital signs on clinical outcomes: a propensity-matched observational study of surgical ward patients

Br J AnaesthPublished Retrospective cohort study

An erratum to this article was published (Br J Anaesth, Oct 2024 ↗)

Main findingResult — go to the resultOdds ratio 3.42 95% CI 3.19–3.67

Authors' conclusion

Patients who received continuous ward monitoring were less likely to die or be admitted to ICU than those who received intermittent monitoring.

Study context

Population
Patients admitted to general surgical wards, single tertiary medical centre, USA, January 2018–December 2019initially screened
Participants
34,636 patients
Exposure
Intermittent vs continuous wireless vital sign monitoring
  • Intermittent monitoringn = 12,345
  • Continuous wireless monitoringn = 7,955reference
Outcome
Composite of:
  • In-hospital mortality
  • ICU transfer during hospitalisation
Methodological detailspropensity-matched, single-centre
  • Propensity-matched
  • Single-centre

Main finding

As reported in the abstract

Odds ratio

3.42

95% CI 3.19–3.67

P < 0.001

Intermittent monitoring vs Continuous wireless monitoring
OR 3.42 (95% CI 3.19–3.67); P < 0.001

Observational data: associations, not effects.

Secondary outcomes

OutcomeOR (95% CI)P value
Heart failure1.48 (1.21–1.81)P < 0.001
MI3.87 (2.71–5.71)P < 0.001
AKI1.32 (1.09–1.57)P < 0.001
Rapid response team interventionSimilar in both groups0.86 (0.79–1.06)P = 0.726

Original publication

Impact of continuous and wireless monitoring of vital signs on clinical outcomes: a propensity-matched observational study of surgical ward patients. Br J Anaesth. Published 21 December 2023. doi:10.1016/j.bja.2023.11.040

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