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

Author:

Vroman Heleen1ORCID,Mosch Diederik2,Eijkenaar Frank3,Naujokat Elke4,Mohr Belinda5,Medic Goran67,Swijnenburg Marcel1,Tesselaar Eric28,Franken Martijn2

Affiliation:

1. Department of Science, Bravis Hospital, Roosendaal, The Netherlands

2. Department of Medical Physics, Bravis Hospital, Roosendaal, The Netherlands

3. Erasmus School of Health Policy & Management, Erasmus University Rotterdam, The Netherlands

4. Philips Medizin Systeme Boeblingen GmbH, Hewlett-Packard-Str. 2,71034 Boeblingen, Germany

5. Philips, 222 Jacobs Street, Cambridge, MA 02141, USA

6. Philips Healthcare, High Tech Campus 52, 5656 AG Eindhoven, The Netherlands

7. Department of Pharmacy, University of Groningen, Groningen, The Netherlands

8. Department of Medical & Health Sciences, Medical Radiation Physics, Linköping University, Sweden

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.

Publisher

Becaris Publishing Limited

Subject

Health Policy

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