Continuous monitoring is superior to manual measurements in detecting vital sign deviations in patients with COVID‐19

Background Patients admitted to the emergency care setting with COVID‐19‐infection can suffer from sudden clinical deterioration, but the extent of deviating vital signs in this group is still unclear. Wireless technology monitors patient vital signs continuously and might detect deviations earlier...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Acta anaesthesiologica Scandinavica 2023-05, Vol.67 (5), p.640-648
Hauptverfasser: Grønbæk, Katja Kjær, Rasmussen, Søren Møller, Langer, Natasha Hemicke, Vincentz, Mette, Oxbøll, Anne‐Britt, Søgaard, Marlene, Awada, Hussein Nasser, Jensen, Tomas O., Jensen, Magnus Thorsten, Sørensen, Helge B. D., Aasvang, Eske Kvanner, Meyhoff, Christian Sylvest
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Background Patients admitted to the emergency care setting with COVID‐19‐infection can suffer from sudden clinical deterioration, but the extent of deviating vital signs in this group is still unclear. Wireless technology monitors patient vital signs continuously and might detect deviations earlier than intermittent measurements. The aim of this study was to determine frequency and duration of vital sign deviations using continuous monitoring compared to manual measurements. A secondary analysis was to compare deviations in patients admitted to ICU or having fatal outcome vs. those that were not. Methods Two wireless sensors continuously monitored (CM) respiratory rate (RR), heart rate (HR), and peripheral arterial oxygen saturation (SpO2). Frequency and duration of vital sign deviations were compared with point measurements performed by clinical staff according to regional guidelines, the National Early Warning Score (NEWS). Results SpO2  24 brpm (p = .01), RR > 21 brpm (p = .01), SpO2 
ISSN:0001-5172
1399-6576
DOI:10.1111/aas.14221