Journal of Comparative Effectiveness Research (Jan 2023)

Continuous vital sign monitoring in patients after elective abdominal surgery: a retrospective study on clinical outcomes and costs

  • Heleen Vroman,
  • Diederik Mosch,
  • Frank Eijkenaar,
  • Elke Naujokat,
  • Belinda Mohr,
  • Goran Medic,
  • Marcel Swijnenburg,
  • Eric Tesselaar,
  • Martijn Franken

DOI
https://doi.org/10.2217/cer-2022-0176
Journal volume & issue
Vol. 12, no. 2

Abstract

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Aim: To assess changes in outcomes and costs upon implementation of continuous vital sign monitoring in postsurgical patients. Materials & methods: Retrospective analysis of clinical outcomes and in-hospital costs comparedwith a control period. Results: During the intervention period patients were less frequently admitted to the intensive care unit (ICU) (p = 0.004), had shorter length of stay (p < 0.001) and lower costs (p < 0.001). The intervention was associated with a lower odds of ICU admission (odds ratio: 0.422; p = 0.007) and ICU related costs (coefficient: -622.6; p = 0.083). Conclusion: Continuous vital sign monitoring may have contributed to fewer ICU admissions and lower ICU costs in postsurgical patients.

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