| Title: |
Detection of Postoperative Vital Signs Abnormalities on a Surgical Ward using Conventional and Remote Automated Monitoring |
| Authors: |
McGillion, Michael H; Marcucci, Maura; Borges, Flavia K; Conen, David; Coleman, Brenda; Gregus, Krysten; Parvaneh, Saman; Bessisow, Amal; Patel, Ameen; Harsha, Prathiba; Ouellette, Carley; Ofori, Sandra; Sessler, Dan; Devereaux, P.J. |
| Source: |
Canadian Journal of General Internal Medicine ; volume 17, issue S1, page 17-27 ; ISSN 2369-1778 |
| Publisher Information: |
University of Toronto Press Inc. (UTPress) |
| Publication Year: |
2022 |
| Description: |
Background: The true incidence of abnormal vital signs on post-surgical wards may be seriously underestimated based on nurse obtained conventional measurement. We sought to determine the incidence and severity of postoperative tachycardia, bradycardia and hypoxemia detected by continuous remote automated monitoring (RAM) versus the incidence of these vital sign abnormalities detected during routine nursing care. Methods: We conducted a prospective cohort proof-of-concept study of 121 patients aged ≥45 years recovering from orthopedic surgery. Eligible patients were at risk of postoperative myocardial injury and had a planned hospital stay ≥48 hours. Philips’ IntelliVue MX40 wearable RAM technology was used to continuously monitor patients’ heart rate and pulse oximetry up to 72 hours following surgery. In addition, study personnel obtained vital signs collected during routine nursing care from participants’ medical charts. Clinically meaningful tachycardia, bradycardia and hypoxemia were defined as heart rates >100, |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.22374/cjgim.v17isp1.591 |
| DOI: |
10.22374/cjgim.v17iSP1.591 |
| Availability: |
https://doi.org/10.22374/cjgim.v17isp1.591; https://www.cjgim.ca/index.php/csim/article/download/591/1317; https://www.cjgim.ca/index.php/csim/article/download/591/1318; https://www.cjgim.ca/index.php/csim/article/download/591/1319; https://utppublishing.com/doi/pdf/10.22374/cjgim.v17iSP1.591 |
| Rights: |
http://creativecommons.org/licenses/by-nc/4.0 |
| Accession Number: |
edsbas.B0B006C0 |
| Database: |
BASE |