Safety, quality & education

Respiratory Rate as a Predictor of Clinical Deterioration and Mortality: A Scoping Review

Acta Anaesthesiol ScandPublished Scoping review

Authors' conclusion

RR was commonly identified as a predictor of mortality and clinical deterioration, with continuous monitoring showing higher detection rates of respiratory abnormalities compared with intermittent monitoring.

Study context

Population
Hospitalised adults aged ≥ 16 years21 studies
Outcome
Mortality
Methodological detailsstructured search of MEDLINE Ovid, EMBASE Ovid and PubMed, PICO framework, two independent reviewers, Most studies observational: 6 retrospective, 10 prospective, 1 case-control, 2 comparative cohort
  • Structured search of MEDLINE Ovid, EMBASE Ovid and PubMed
  • PICO framework
  • Two independent reviewers
  • Most studies observational: 6 retrospective, 10 prospective, 1 case-control, 2 comparative cohort

Main finding

As reported in the abstract

RR as predictor of mortality and clinical deterioration
  • RR frequently associated with mortality and clinical deterioration; findings varied with clinical context and measurement method
  • Sample sizes 34 to 556,848 patients

Further findings

Continuous vs intermittent RR monitoring

Continuous monitoring detected more cases of sustained respiratory abnormalities than intermittent measurements; clinical impact requires further investigation

Original publication

Respiratory Rate as a Predictor of Clinical Deterioration and Mortality: A Scoping Review. Acta Anaesthesiol Scand. Published 19 August 2025. doi:10.1111/aas.70113

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