{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T10:00:53Z","timestamp":1768989653890,"version":"3.49.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012774","name":"Innovationsfonden","doi-asserted-by":"publisher","award":["8056\u201000055B"],"award-info":[{"award-number":["8056\u201000055B"]}],"id":[{"id":"10.13039\/100012774","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008363","name":"Kr\u00e6ftens Bek\u00e6mpelse","doi-asserted-by":"publisher","award":["R150\u2010A9865\u201016\u2010S48"],"award-info":[{"award-number":["R150\u2010A9865\u201016\u2010S48"]}],"id":[{"id":"10.13039\/100008363","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005747","name":"A.P. M\u00f8ller Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005747","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100016380","name":"Bispebjerg Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016380","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005192","name":"Technical University of Denmark","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005192","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Postoperative deviating physiologic values (vital signs) may represent postoperative stress or emerging complications. But they can also reflect chronic preoperative values. Distinguishing between the two circumstances may influence the utility of using vital signs in patient monitoring. Thus, we aimed to describe the occurrence of vital sign deviations before and after major vascular surgery, hypothesising that preoperative vital sign deviations were longer in duration postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this prospective observational study, arterial vascular patients were continuously monitored wirelessly \u2010 from the day before until 5\u2009days after surgery. Recorded values were: heart rate, respiration rate, peripheral arterial oxygen saturation (SpO<jats:sub>2<\/jats:sub>) and blood pressure. The outcomes were 1. cumulative duration of SpO<jats:sub>2<\/jats:sub>\u2009&lt;\u200985% \/ 24\u2009h, and 2. cumulative duration per 24\u2009h of vital sign deviations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty patients were included with a median monitoring time of 21\u2009h preoperatively and 42\u2009h postoperatively. The median duration of SpO<jats:sub>2<\/jats:sub>\u2009&lt;\u200985% preoperatively was 14.4\u00a0min\/24\u2009h whereas it was 28.0\u00a0min\/24\u2009h during day 0 in the ward (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.09), and 16.8\u00a0min\/24\u2009h on day 1 in the ward (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.61). Cumulative duration of SpO<jats:sub>2<\/jats:sub>\u2009&lt;\u200980% was significantly longer on day 0 in the ward 2.4\u00a0min\/24\u2009h (IQR 0.0\u20134.6) versus 6.7\u2009min\/24\u2009h (IQR 1.8\u201316.2) <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Deviating physiology is common in patients before and after vascular surgery. A longer duration of severe desaturation was found on the first postoperative day in the ward compared to preoperatively, whereas moderate desaturations were reflected in postoperative desaturations. Cumulative duration outside thresholds is, in some cases, exacerbated after surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.14158","type":"journal-article","created":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T06:20:16Z","timestamp":1666333216000},"page":"19-28","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Continuous wireless pre\u2010 and postoperative vital sign monitoring reveal new, severe desaturations after vascular surgery"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2062-9570","authenticated-orcid":false,"given":"Jesper","family":"M\u00f8lgaard","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, the Centre for Cancer and Organ Diseases Copenhagen University Hospital \u2013 Rigshospitalet  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6297-2871","authenticated-orcid":false,"given":"S\u00f8ren Straarup","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Biomedical Signal Processing &amp; AI Research Group, Digital Health Section, Department of Health Technology Technical University of Denmark  Kgs. Lyngby Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7930-3842","authenticated-orcid":false,"given":"Jonas","family":"Eiberg","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery the Heartcenter, Rigshospitalet  Copenhagen Denmark"},{"name":"Copenhagen Academy for Medical Education and Simulation (CAMES)  Copenhagen Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5716-7600","authenticated-orcid":false,"given":"Helge Bjarup Dissing","family":"S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Biomedical Signal Processing &amp; AI Research Group, Digital Health Section, Department of Health Technology Technical University of Denmark  Kgs. Lyngby Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4885-4609","authenticated-orcid":false,"given":"Christian Sylvest","family":"Meyhoff","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"},{"name":"Department of Anaesthesia and Intensive Care Copenhagen University Hospital \u2010 Bispebjerg and Frederiksberg Hospitals  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7131-2461","authenticated-orcid":false,"given":"Eske Kvanner","family":"Aasvang","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, the Centre for Cancer and Organ Diseases Copenhagen University Hospital \u2013 Rigshospitalet  Copenhagen Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0141076820925436"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/10802"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-042735"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/80.5.602"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m1501"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2011.03.006"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10877-017-0003-5"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2013.12.017"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.03.031"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.08.190"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.01.007"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.7983"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.14048"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.13173"},{"key":"e_1_2_9_16_1","doi-asserted-by":"crossref","unstructured":"McKinneyW.Data structures for statistical computing in python. 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