Observational studyActa anaesthesiologica Scandinavica2022
Continuous monitoring of vital sign abnormalities; association to clinical complications in 500 postoperative patients.
Observational study in Acta anaesthesiologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03491137 (Wireless Assessment of Respiratory and Circulatory Distress in Surgical Patients), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Wireless Assessment of Respiratory and Circulatory Distress in Surgical Patients
Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- From perception to response: translational progress implementation challenges of wearable non-invasive continuous vital sign monitoring in early warning for inpatients.Frontiers in physiology · 2026Pooled it
- Enhancing anesthesia monitoring training: a SPOC and Gagné's model hybrid personalized by artificial intelligence.BMC medical education · 2026Trial
- Postoperative Delirium and the Association to Continuously Monitored Severe Deviations of Vital Signs at the General Ward After Major Abdominal Surgery.Acta anaesthesiologica Scandinavica · 2026Observational
- Vital signs during complication-free recovery after major surgery: a retrospective analysis.Journal of clinical monitoring and computing · 2026Article
- Wearable Electronic Monitoring of Vital Signs in Hospitalised Adults: A Nursing Focused Scoping Review of Clinical, Economic and Implementation Outcomes.Journal of advanced nursing · 2026Article
- Prognostic Value of Traditional and Optimised Vital Sign Thresholds for Risk of Serious Adverse Events in Continuously Monitored Hospitalised Patients.Sensors (Basel, Switzerland) · 2026Article
- Artificial Intelligence-Driven Norepinephrine Control Using Adaptive Cardiac Digital Twin for Critical Care Patients.Methods of information in medicine · 2026Article
- Occurrence of Hypoxemia the First Day After Trauma Assessed by Continuous Pulse Oximetry.Acta anaesthesiologica Scandinavica · 2026Observational
- 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
- Balancing sensitivity and specificity: investigating the effect of age delay and critical illness events on the number of threshold alarms.Journal of clinical monitoring and computing · 2026Article
- Assessment of Subjective Visual Experiences During Intraocular Surgery and Intravitreal Injection Among Uveitis Patients at a Tertiary Eye Hospital: A Cross-Sectional Observational Study.Ophthalmology and therapy · 2026Article
- Continuous Wireless Vital Sign Sensors for Detecting Severe Deviations at a Transitional Care Facility-An Observational Feasibility Study.Sensors (Basel, Switzerland) · 2025Observational
- Enhancing Clinical Decision-Making in Pediatric Monitoring: Learning Threshold Alarm Patterns to Predict Critical Illness.Bioengineering (Basel, Switzerland) · 2025Article
- Time-sequential prediction of postoperative complications after gastric cancer surgery using machine learning: a multicenter cohort study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025Article
- Wearable Devices in Healthcare Beyond the One-Size-Fits All Paradigm.Sensors (Basel, Switzerland) · 2025Review
- Planning intensive care unit admission after elective major abdominal surgery: good clinical practice document by SIAARTI-SIC-ANIARTI.Journal of anesthesia, analgesia and critical care · 2025Review
- Article
- Wearable devices as part of postoperative early warning score systems: a scoping review.Journal of clinical monitoring and computing · 2025Article
- The completeness, accuracy and impact on alerts, of wearable vital signs monitoring in hospitalised patients.BMC digital health · 2025Article
- Post-anesthesia care unit hypotension in low-risk patients recovering from non-cardiac surgery: a prospective observational study.Journal of clinical monitoring and computing · 2024Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients undergoing major surgery are at risk of complications, so-called serious adverse events (SAE). Continuous monitoring may detect deteriorating patients by recording abnormal vital signs. We aimed to assess the association between abnormal vital signs inspired by Early Warning Score thresholds and subsequent SAEs in patients undergoing major abdominal surgery.
methodsProspective observational cohort study continuously monitoring heart rate, respiratory rate, peripheral oxygen saturation, and blood pressure for up to 96 h in 500 postoperative patients admitted to the general ward. Exposure variables were vital sign abnormalities, primary outcome was any serious adverse event occurring within 30 postoperative days. The primary analysis investigated the association between exposure variables per 24 h and subsequent serious adverse events.
resultsSerious adverse events occurred in 37% of patients, with 38% occurring during monitoring. Among patients with SAE during monitoring, the median duration of vital sign abnormalities was 272 min (IQR 110-447), compared to 259 min (IQR 153-394) in patients with SAE after monitoring and 261 min (IQR 132-468) in the patients without any SAE (p = .62 for all three group comparisons). Episodes of heart rate ≥110 bpm occurred in 16%, 7.1%, and 3.9% of patients in the time before SAE during monitoring, after monitoring, and without SAE, respectively (p < .002). Patients with SAE after monitoring experienced more episodes of hypotension ≤90 mm Hg/24 h (p = .001).
conclusionOverall duration of vital sign abnormalities at current thresholds were not significantly associated with subsequent serious adverse events, but more patients with tachycardia and hypotension had subsequent serious adverse events.
trial registrationClinicaltrials.gov, identifier NCT03491137.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.