Incidence, severity and detection of blood pressure and heart rate perturbations in postoperative ward patients after noncardiac surgery.

ABSTRACT:

Study objective

We sought to determine changes in continuous mean and systolic blood pressure and heart rate in a cohort of non-cardiac surgical patients recovering on the postoperative ward. Furthermore, we estimated the proportion of vital signs changes that would remain undetected with intermittent vital signs checks.

Design

Retrospective cohort.

Setting

Post-operative general ward.

Patients

14,623 adults recovering from non-cardiac surgical procedures.

Interventions & measurements

Using a wireless, noninvasive monitor, we recorded postoperative blood pressure and heart rate at 15-s intervals and encouraged nursing intervention as clinically indicated.

Main results

7% of our cohort of 14,623 patients spent >15 sustained minutes with a MAP <65 m

SUBMITTER: Khanna AK 

PROVIDER: S-EPMC11542488 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature