Perioperative medicine & outcomes

Role of continuous pulse oximetry and capnography monitoring in the prevention of postoperative respiratory failure, postoperative opioid-induced respiratory depression and adverse outcomes on hospital wards: A systematic review and meta-analysis

J Clin AnesthPublished Systematic review and meta-analysis

Pooled result · Recognition of desaturation (SpO2 < 90%)Result — go to the resultOdds ratio 11.94 95% CI 6.85–20.82

Authors' conclusion

Oxygen desaturation was the only outcome better detected with CPOX in postoperative patients in hospital wards.

Study context

Population
Postoperative patients on hospital wards, ASA class II to IV, non-invasive respiratory monitoring, post-operative respiratory depression
Participants
56,538 patients · 23 studies
Comparison
Continuous pulse oximetry (CPOX) vs Routine monitoring
Outcome
Recognition of desaturation (SpO2 < 90%)
Methodological detailssensitivity analysis
  • Sensitivity analysis

Pooled result

As reported in the abstract

Odds ratio

11.94

95% CI 6.85–20.82

P < 0.01

CPOX vs Routine monitoring
OR 11.94 (95% CI 6.85–20.82); P < 0.01

Further pooled results

ICU transfer, reintubation, NIV

No significant differences between the two groups

Original publication

Role of continuous pulse oximetry and capnography monitoring in the prevention of postoperative respiratory failure, postoperative opioid-induced respiratory depression and adverse outcomes on hospital wards: A systematic review and meta-analysis. J Clin Anesth. Published 6 January 2024. doi:10.1016/j.jclinane.2024.111374

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