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, B.A. Mohr, Goran Medić, Marcel Swijnenburg, Eric Tesselaar, Martijn Franken
Abstract
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 compared with 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 (odds ratio: -662.4; p = 0.083). Conclusion: Continuous vital sign monitoring may have contributed to fewer ICU admissions and lower ICU costs in postsurgical patients.