SynthesisJournal of the Royal Society of Medicine2020
Clinical impact of multi-parameter continuous non-invasive monitoring in hospital wards: a systematic review and meta-analysis.
Synthesis in Journal of the Royal Society of Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of wearable continuous vital sign monitoring on deterioration detection and clinical outcomes in hospitalised patients: a systematic review and meta-analysis.Critical care (London, England) · 2021Pooled it
- Prognostic Value of Traditional and Optimised Vital Sign Thresholds for Risk of Serious Adverse Events in Continuously Monitored Hospitalised Patients.Sensors (Basel, Switzerland) · 2026Article
- Initial Ward Admission Followed by Early Respiratory Intermediate Care Transfer and In-Hospital Mortality.Medical sciences (Basel, Switzerland) · 2026Observational
- Impact of postoperative in-hospital continuous vital sign monitoring on healthcare costs, resource utilization and labor market outcomes.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Accuracy of vital sign monitoring using a photoplethysmography upper arm wearable device in postoperative non-cardiac surgery patients: a prospective observational clinical validation study.Journal of clinical monitoring and computing · 2026Observational
- The Usability of Continuous Monitoring Devices With Deterioration Alerting Systems in Noncritical Care Units: Scoping Review.Interactive journal of medical research · 2026Review
- Evaluating a ballistocardiography derived respiratory rate algorithm through comprehensive clinical validation across multiple settings.Scientific reports · 2026Article
- Factors Associated With the Usability and Adoption of Continuous Monitoring Devices With Deterioration Alerting Systems in Acute Hospital Non-ICU Settings: A Mixed Methods Study.Journal of nursing management · 2026Article
- Performance and Improvement of Track and Trigger Scores Before Rescue and Transfer in the General Care Setting.Journal of patient safety · 2025Article
- Nurses' experiences with inhospital continuous monitoring of vital signs in general wards: A systematic review.PLOS digital health · 2025Article
- Ability to identify patient-ventilator asynchronies in intensive care unit professionals: A multicenter cross-sectional analytical study.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025Article
- Effectiveness of Remote Patient Monitoring Equipped With an Early Warning System in Tertiary Care Hospital Wards: Retrospective Cohort Study.Journal of medical Internet research · 2025Article
- Evidence-based practices for prevention and management of medical device alarm fatigue in anesthesia professionals.Frontiers in medicine · 2025Article
- Prognostic value of heart rate variability for risk of serious adverse events in continuously monitored hospital patients.Journal of clinical monitoring and computing · 2024Article
- Discrepancies between Promised and Actual AI Capabilities in the Continuous Vital Sign Monitoring of In-Hospital Patients: A Review of the Current Evidence.Sensors (Basel, Switzerland) · 2024Review
- Enhancing Early Detection of Sepsis in Neonates through Multimodal Biosignal Integration: A Study of Pulse Oximetry, Near-Infrared Spectroscopy (NIRS), and Skin Temperature Monitoring.Bioengineering (Basel, Switzerland) · 2024Article
- COVID-19 Detection From Respiratory Sounds With Hierarchical Spectrogram Transformers.IEEE journal of biomedical and health informatics · 2024Article
- Measurement accuracy of a microwave doppler sensor beneath the mattress as a continuous respiratory rate monitor: a method comparison study.Journal of clinical monitoring and computing · 2024Observational
- Impact of wearable wireless continuous vital sign monitoring in abdominal surgical patients: before-after study.BJS open · 2024Article
- Contactless and continuous monitoring of respiratory rate in a hospital ward: a clinical validation study.Frontiers in physiology · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDelayed response to clinical deterioration as a result of intermittent vital sign monitoring is a cause of preventable morbidity and mortality. This review focuses on the clinical impact of multi-parameter continuous non-invasive monitoring of vital signs (CoNiM) in non-intensive care unit patients.
designSystematic review and meta-analysis of primary studies. Embase, MEDLINE, HMIC, PsycINFO and Cochrane were searched from April 1964 to 18 June 2019 with no language restriction.
settingThe search was limited to hospitalised, non-intensive care unit adult patients who had two or more vital signs continuously monitored.
participantsAll primary studies that evaluated the clinical impact of using multi-parameter CoNiM in adult hospital wards outside of the intensive care unit.
main outcome measuresClinical impact of multi-parameter CoNiM.
resultsThis systematic review identified 14 relevant studies from 3846 search results. Five studies were classified as Group A - associations found between measured vital signs and clinical parameters. Nine studies were classified as Group B - comparison between clinical outcomes of patients with and without multi-parameter CoNiM. Vital signs data from CoNiM were found to associate with type of presenting complaint, level of renal function and incidence of major clinical events. CoNiM also assisted in diagnosis by differentiating between patients with acute heart failure, stroke and sepsis (with sub-clustering of septic patients). In the meta-analysis, patients on multi-parameter CoNiM had a 39% decrease in risk of mortality (risk ratio [RR] 0.61; 95% confidence interval [95% CI] -0.39-0.95) when compared to patients with regular intermittent monitoring. There was a trend of reduced intensive care unit transfer (RR 0.86; 95% CI -0.67-1.11) and reduced rapid response team activation (RR 0.61; 95% CI 0.26-1.43). A trend towards reduced hospital length of stay was also found using weighted mean difference (WMD -3.32 days; 95% CI -8.82-2.19 days).
conclusionThere is evidence of clinical benefit in implementing CoNiM in non-intensive care unit patients. This review supports the use of multi-parameter CoNiM outside of intensive care unit with further large-scale RCTs required to further affirm clinical impact.
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