Perioperative medicine & outcomes

Remote Continuous Vital Sign Monitoring of Scoliosis Surgery Patients on General Wards: A Cost-Effectiveness Analysis

Anesth AnalgPublished Cost-effectiveness analysis

Authors' conclusion

In scoliosis surgery, the implementation of a remote continuous inpatient monitoring service reduced inpatient costs and hours in ICU.

Study context

Population
Scoliosis surgery patients
Participants
155 vs 133
Comparison
Postimplementation vs Preimplementation
  • Postimplementationn = 155
  • Preimplementationn = 133reference
Outcome
Incremental cost per ICU hour avoided
Methodological detailspre- and postimplementation comparison, multivariable regression adjustment
  • Pre- and postimplementation comparison
  • Multivariable regression adjustment

Main finding

As reported in the abstract

ICU hours avoided and health care costs (adjusted)

ICU hours avoided per patient, post- vs preimplementation

27.1 hours

Reduction in overall health care costs per patient, post- vs preimplementation

AU$2682

US$2164

Further findings

Hospital LOS

No statistically significant difference in hospital LOS
RR 1.01; 0.93-1.11; P = .785 (95% CI, P)
  • Adjusted analysis

Emergency readmissions

No statistically significant difference in emergency readmissions
OR 0.93; 0.44-1.99; P = .854 (95% CI, P)
  • Adjusted analysis

Safety

No statistically significant difference in hospital-acquired complications
OR 0.68; 0.27-1.66; P = .393 (95% CI, P)
  • Adjusted analysis

Original publication

Remote Continuous Vital Sign Monitoring of Scoliosis Surgery Patients on General Wards: A Cost-Effectiveness Analysis. Anesth Analg. Published 17 July 2025. doi:10.1213/ane.0000000000007655

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