Impact of the coronavirus pandemic on the patterns of vital signs recording and staff compliance with expected monitoring schedules on general wards
Research output: Contribution to journal › Article › peer-review
Methods: We compared the pattern of vital signs and early warning score (EWS) data collected from admissions to a single hospital during the initial phase of the COVID-19 pandemic with those in three control periods from 2018, 2019 and 2020. Main outcome measures were weekly and monthly hospital admissions; daily and hourly patterns of recorded vital signs and EWS values; time to next observation and; proportions of ‘on time’, ‘late’ and ‘missed’ vital signs observations sets.
Results: There were large falls in admissions at the beginning of the COVID-19 era. Admissions were older, more unwell on admission and throughout their stay, more often required supplementary oxygen, spent longer in hospital and had a higher in-hospital mortality compared to one or more of the control periods. More daily observation sets were performed during the COVID-19 era than in the control periods. However, there was no clear evidence that COVID-19 affected the pattern of vital signs collection across the 24-h period or the week.
Conclusions: The increased burdens of the COVID-19 pandemic, and the altered healthcare structures and processes required to respond to it, did not adversely affect the hospitals’ ability to monitor patients under its care and to comply with expected monitoring schedules.
|Early online date||19 Nov 2020|
|Publication status||Early online - 19 Nov 2020|
- Kostakis et al. 2020_Patterns_post-print
Accepted author manuscript (Post-print), 1.04 MB, PDF document
Due to publisher’s copyright restrictions, this document is not freely available to download from this website until: 30/11/21
Licence: CC BY-NC-ND