Continuous vital sign monitoring in patients after elective abdominal surgery: a retrospective study on clinical outcomes and costs

J Comp Eff Res. 2023 Feb;12(2):e220176. doi: 10.2217/cer-2022-0176. Epub 2023 Jan 16.

Abstract

Aim: To assess changes in outcomes and costs upon implementation of continuous vital sign monitoring in postsurgical patients. Materials & methods: Retrospective analysis of clinical outcomes and in-hospital costs compared with a control period. Results: During the intervention period patients were less frequently admitted to the intensive care unit (ICU) (p = 0.004), had shorter length of stay (p < 0.001) and lower costs (p < 0.001). The intervention was associated with a lower odds of ICU admission (odds ratio: 0.422; p = 0.007) and ICU related costs (odds ratio: -662.4; p = 0.083). Conclusion: Continuous vital sign monitoring may have contributed to fewer ICU admissions and lower ICU costs in postsurgical patients.

Keywords: early warning score; outcomes research; real-world evidence; vital sign monitoring; wearable sensors.

MeSH terms

  • Hospitalization*
  • Humans
  • Intensive Care Units*
  • Length of Stay
  • Retrospective Studies
  • Vital Signs