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Table 3 Vital sign thresholds summary table

From: The impact of wearable continuous vital sign monitoring on deterioration detection and clinical outcomes in hospitalised patients: a systematic review and meta-analysis

 

Vital sign thresholds (delay before alarm in seconds)

Alarm method

Study

HR/PR

RR

SpO2

BP

MAP

T

 

High

Low

High

Low

Low

High SBP

Low DBP

Low

 

Weller et al. 2018

HR: 150 (15)

PR: 150 (60)

HR: 39 (15)

PR: 39 (60)

35 (120)

4 (120)

85 (90)

200 (240)

 

58 (60)

 

Sound

Central station + nurse phone

Kisner et al. 2009

Individualised (immediate)

  

Pre-set individualised (immediate)

    

Sound

Pager or SMS to doctor and nurse

Verrilo et al. 2018

Pre-set (5)

Pre-set (120)

Pre-set (60)

Pre-set (120)

  

Sound

Central monitor + nurse mobile

Downey et al. 2018

Pre-set, individualised if required (immediate)

Pre-set, individualised if required (immediate)

    

Pre-set, individualised if required (immediate)

Sound

Mobile device to nurse

Downey et al. 2020

Pre-set, individualised if required (immediate)

Pre-set, individualised if required (immediate)

    

Pre-set, individualised if required (immediate)

Sound

Mobile device to nurse

Weenk et al. 2019 & 2020

Individualised (immediate)

Individualised (immediate)

Individualised (immediate)

Individualised (immediate)

 

Individualised (immediate)

Sound

Nurse station

Skraastad et al. 2020

As per NEWS score

As per NEWS score

As per NEWS score

As per NEWS score

 

As per NEWS score

Visual only

Warnings at patient bedside

 

Score name

Alerting score thresholds

    

Vital signs included in score

Range

Threshold

Time to alarm

    

Watkinson et al. 2020

VSI

All

0 to 5

 > 3.0 for more than 4 out of 5 min

On the fifth minute

   

Sound Bedside + central station + nurse PDA

  1. BP: blood pressure, DBP: diastolic blood pressure, HR: heart rate, MAP: mean arterial pressure, PDA: personal digital assistant, PR: pulse rate, RR: respiratory rate, SBP: systolic blood pressure, SMS: short message service, SpO2: peripheral oxygen saturation, T: temperature, VSI: Visensia Safety Index