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

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 c...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2023-10, Vol.89, p.111159, Article 111159
Main Authors: Khanna, Ashish K., O'Connell, Nathaniel S., Ahuja, Sanchit, Saha, Amit K., Harris, Lynnette, Cusson, Bruce D., Faris, Ann, Huffman, Carolyn S., Vallabhajosyula, Saraschandra, Clark, Clancy J., Segal, Scott, Wells, Brian J., Kirkendall, Eric S., Sessler, Daniel I.
Format: Article
Language:English
Subjects:
Adult
Blood Pressure
Cardiac arrhythmia
Comorbidity
Continuous
Heart Rate
Hospital systems
Hospitals
Humans
Hypertension
Hypotension
Incidence
Length of stay
Monitoring
Mortality
Nurses
Patients
Retrospective Studies
Signs
Surgery
Vital Signs
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Summary: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. Retrospective cohort. Post-operative general ward. 14,623 adults recovering from non-cardiac surgical procedures. Using a wireless, noninvasive monitor, we recorded postoperative blood pressure and heart rate at 15-s intervals and encouraged nursing intervention as clinically indicated. 7% of our cohort of 14,623 patients spent >15 sustained minutes with a MAP 100 beats/min for at least continuous 15 min and 15% of patients were bradycardic at a threshold of 130 mmHg sustained >30 min, 36% of episodes of heart rate > 120 beats/min sustained
ISSN:0952-8180
1873-4529
1873-4529
DOI:10.1016/j.jclinane.2023.111159