ArticleBJS open2024
Impact of wearable wireless continuous vital sign monitoring in abdominal surgical patients: before-after study.
Article in BJS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 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
- 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
- Feasibility and safety of early discharge after robot-assisted uro-oncologic surgery using wearable telemonitoring.Journal of robotic surgery · 2026Article
- 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
- Remote Monitoring With a Reusable Device Upon Implementation on a Surgical Department (REQUEST Trial).World journal of surgery · 2026Observational
- Application of goal-directed quantitative activity management based on wearable technology in children with appendicitis: a retrospective cohort study.American journal of translational research · 2026Article
- Wearable Devices in Healthcare Beyond the One-Size-Fits All Paradigm.Sensors (Basel, Switzerland) · 2025Review
- Nurses' experiences with inhospital continuous monitoring of vital signs in general wards: A systematic review.PLOS digital health · 2025Article
- Implementing Artificial Intelligence in Critical Care Medicine: a consensus of 22.Critical care (London, England) · 2025Review
- Wearable devices as part of postoperative early warning score systems: a scoping review.Journal of clinical monitoring and computing · 2025Article
- Feasibility of smart ring-based remote monitoring in hospitalized patients: evaluation of signal transmission latency and data acquisition continuity.Frontiers in bioengineering and biotechnology · 2025Article
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Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundTechnological advances have enabled continuous monitoring of vital signs (CMVS) by wearable, wireless devices on general hospital wards to facilitate early detection of clinical deterioration, which could potentially improve clinical outcomes. However, evidence on the impact of these CMVS systems on patient outcomes is limited. This research aimed to explore the effect of CMVS on the clinical outcomes in major abdominal surgery patients in a general surgery ward.
methodsA single-centre before-after study was conducted from October 2019 to June 2022. Patients in the intervention group received CMVS in addition to conventional intermittent vital sign monitoring (standard care for control group). With CMVS, heart rate and respiratory rate were measured every 5 min by a patch sensor. Proactive vital signs trends assessments and, when necessary, subsequent nursing activities were performed every nursing shift. The primary outcome of interest was the length of hospital stay (LOS); also, 12 patient-related outcomes were analysed. In the CMVS group, follow-up nursing activities of deviating vital signs trends were described and patient acceptability was measured. Post-hoc subgroup analysis was performed for colorectal and hepatopancreatobiliary surgery.
resultsA total of 908 patients were included (colorectal: n = 650; hepatopancreatobiliary: n = 257). Overall, median LOS was lower in the CMVS group (5.0 versus 5.5 days; P = 0.012), respectively. Post-hoc subgroup analysis showed this reduction in LOS was mostly observed in the colorectal group and not in the hepatopancreatobiliary group. Apart from a decrease in nurse-to-house-officer calls (from 15.3% to 7.7%; P = 0.007), all secondary clinical outcomes were similar in CMVS and control groups. However, a non-significant trend towards less-severe complications and reduced ICU LOS was observed in the CMVS group. In CMVS patients, 109 additional nursing activities were performed and 83% of patients indicated CMVS was acceptable.
conclusionCMVS was associated with a significant reduction in LOS, while other clinical outcomes were unchanged. CMVS triggered additional nursing activities such as extra patient assessments and therapeutic interventions.
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