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C. Downey, R. Randell, J. Brown, D. Jayne
Journal of Medical Internet Research
December 2018 20(12):e10802

Abstract summary:

Aims

Vital signs monitoring is a universal tool for the detection of postoperative complications, but unwell patients can be missed in between traditional observation rounds. New remote monitoring technologies promise to convey the benefits of continuous monitoring to patients on general wards. The aim of this study was to evaluate whether continuous remote vital signs monitoring is a practical, acceptable and effective way of monitoring surgical patients.

Methods

A cluster-randomised, controlled study was performed. Patients admitted to two surgical wards at a large tertiary hospital received either continuous and intermittent vital signs monitoring, or intermittent monitoring alone. The primary outcome measure was time to administration of antibiotics in sepsis. Secondary outcome measures included length of hospital stay, 30-day readmission rate, mortality and patient acceptability.

Results

350 patients were recruited between January and June 2017. 140 patients received continuous remote monitoring and 210 received intermittent monitoring alone.

On average, patients receiving continuous monitoring were:

Conclusions

Remote continuous vital signs monitoring on surgical wards is practical and acceptable to patients. Large, well-controlled studies in high-risk populations are required to determine if the observed trends translate into a significant benefit for continuous over intermittent monitoring.

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Status: Open access to published poster abstracts

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