Continuous Vital Sign Monitoring on Hospital Wards and Postoperative Mortality

Features| May 2024 Continuous Vital Sign Monitoring on Hospital Wards and Postoperative Mortality Megan H. Hicks, MD; Megan H. Hicks, MD Search for other works by this author on: This Site PubMed Google Scholar Jacqueline Palermo, BS; Jacqueline Palermo, BS Search for other works by this author on: This Site PubMed Google Scholar Ashish K. Khanna, MD, MS, FCCP, FCCM, FASA Ashish K. Khanna, MD, MS, FCCP, FCCM, FASA Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor May 2024, Vol. 88, 18–19. https://doi.org/10.1097/01.ASM.0001016816.34130.df Views Icon Views Article contents Figures Continuous Vital Sign Monitoring on Hospital Wards and Postoperative Mortality. ASA Monitor 2024; 88:18–19 doi: https://doi.org/10.1097/01.ASM.0001016816.34130.df Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: mortality, patients' rooms, vital signs Mortality during a surgical procedure is so rare that it is hard to quantify risk. However, death within 30 days after surgery comprises approximately 7.7% of all causes of death per year (Lancet 2019;393:401). Stated another way, postoperative mortality is about 140 times higher than intraoperative mortality! Nearly half of all adverse events in hospitalized patients occur on the ward, under our direct care, and are responsible for nearly 85% of all postoperative mortality (Lancet 2012;380:1059-65; Resuscitation 2016;105:123-9; J Am Heart Assoc 2016;5:e003638). Code blue events are often thought of as sudden catastrophic cardiorespiratory deteriorations. However, contrary to this perception, most patients who suffered perioperative mortality had at least one abnormal vital sign within the four hours preceding cardiopulmonary arrest (code blue) (Resuscitation 2016;105:123-9). Further, there is an association of increasing mortality with an increasing number of abnormal or severely abnormal pre-arrest... You do not currently have access to this content.