Perioperative medicine & outcomes

Time to detection of serious adverse events by continuous vital sign monitoring versus clinical practice

Acta Anaesthesiol ScandPublished Prospective cohort study

An erratum to this article was published (Acta Anaesthesiol Scand, Jan 2025 ↗)

Main finding · Time to SAEResult — go to the resultMedian difference 48.1 h 95% CI 43.0–54.8

Authors' conclusion

Continuous vital sign monitoring detects signs of oncoming SAEs in the form of SVD hours before CSD, potentially allowing for earlier and more effective treatments to reduce the extent of SAEs.

Study context

Population
Major abdominal surgery patients at the general ward142 in primary analysis
Participants
505 patients
Exposure
SVD vs clinical suspicion of deterioration (CSD)
Outcome
Time difference between first chart note of CSD and first SVD in patients with a subsequent confirmed SAE during or up to 48 h after end of monitoring

Main finding

Time to SAE

Median difference

48.1 h

95% CI 43.0–54.8

P < 0.001

By group

SVD

42.8

median · IQR 19.8–72.1 · h

CSD

13

median · IQR - 4.8 to 3.5 h · minutes

SVD vs CSD
median difference 48.1 h (95% CI 43.0–54.8); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Original publication

Time to detection of serious adverse events by continuous vital sign monitoring versus clinical practice. Acta Anaesthesiol Scand. Published 28 October 2024. doi:10.1111/aas.14541

Composed by AI from the published abstract and checked against it. How Briefs are made →

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