Respiratory Compromise Often Precedes In-Hospital Deterioration

Research has demonstrated that the underlying cause of many in-hospital adverse events is respiratory in nature. Studies evaluating the relationship between abnormal vital sign observations and patient outcome have shown the respiratory parameters are the most predictive of adverse outcome.1-3,([FOOTNOTE=Ljunggren, M., Castren, M., Nordberg, M., & Kurland, L. The association between vital signs and mortality in a retrospective cohort study of an unselected emergency department population. Scand J Trauma Resusc Emerg Med. 2016;24:21.],[ANCHOR=],[LINK=]),([FOOTNOTE=Peberdy, M. A., Ornato, J. P., Larkin, G. L., et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299(7):785-792.],[ANCHOR=],[LINK=]),([FOOTNOTE=Vohra, H. A., Goldsmith, I. R., Rosin, M. D., Briffa, N. P., & Patel, R. L. The predictors and outcome of recidivism in cardiac ICUs. Eur J Cardiothorac Surg. 2005;27(3):508-511.],[ANCHOR=],[LINK=])

Decline May Be Preventable With Better Monitoring

Multiple studies have evaluated the utility of integrating continuous monitoring of patient respiratory status to increase early identification of respiratory compromise and improve outcome.6,([FOOTNOTE=Sun, Z., Sessler, D. I., Dalton, J. E., et al. Postoperative Hypoxemia Is Common and Persistent: A Prospective Blinded Observational Study. Anesth Analg. 2015;121(3):709-715.],[ANCHOR=],[LINK=])