Perioperative Complication
Conditions
Keywords
Post-Anesthesia Care Unit, Intermediate Care Unit, Clinical pathways, Decision making
Brief summary
This prospective observational study investigated the validity and reliability of a new postoperative track assessment tool. We hypothesized, first, that this tool estimates the indication and benefit of a management in an intermediate care unit (IMC). Second, we hypothesized that a) health care providers of IMC or postoperative anaesthesia care unit (PACU) have similar estimations using this tool and b) that this estimation is accurately established in the first 2 hours.
Detailed description
The tool includes 2 visual analog scale (VAS) scores estimating indication of an IMC admission and benefit of an IMC stay. The tool was tested in a PACU and in an IMC unit of a Swiss tertiary centre in 2019/2020 (before COVID pandemic). Three raters: one nurse, one physician in charge and the consultant physician, were asked to fill the VAS at the same time for each included patient. The score was done in the 2 first hours following admission in the unit and during the multi professional morning round at day 1. Reliability was estimated by testing internal consistency (homogeneity), interrater reliability and agreement and test-retest validity (stability). Validity included content validity, construct validity and criterion validity.
Interventions
OTHERPo Tra tool
Healthcare workers filled the 2 VAS of the tool but it did not impact or change the care of the patient. (observational)
Sponsors
University Hospital, Geneva
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* PACU patients admitted on Mondays * IMC patients admitted 7:30am-7:30pm on weekdays
Exclusion criteria
* night admission * PACU patient ASA \< 3 or minor intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intermediate Care (IMC) indication (VASi) | 2019/2020 | Health care raters graded the IMC indication (or allocative efficiency) for each patient on a visual analog scale grading from 0 (very low indication of an IMC management) to 100 (very high indication of an IMC management), namely VASi. |
| Intermediate Care benefit (VASb) | 2019/2020 | Health care raters graded the IMC benefit (or health gain) for each patient on a visual analog scale grading from 0 (very low benefit from an IMC management) to 100 (very high benefit from an IMC management), namely VASb. |
Countries
Switzerland
Outcome results
None listed