Evaluation of the Modified Early Warning Scoring System

Postoperative Complications Clinical Trial

Official title:

The Effect of Modified Early Warning Scoring System and Nursing Guide Practices on Postoperative Patient Outcomes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05575531
• Other study ID #: KAEK/17.bI.02
• Status: Completed
• Phase: N/A
• Start date: July 29, 2022
• Est. completion date: January 12, 2023

Study information

• Verified date: March 2023
• Source: Kirsehir Ahi Evran University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In this study, it was aimed to determine the effect of HRU and HG on patient outcomes in the care process in surgical patients followed according to MEUSS. The sample of the study, which was conducted as a randomized-controlled clinical trial, consisted of 252 patients who underwent surgical intervention under general anesthesia in a university hospital between 29 July 2022 and 31 October 2022.

Description:

Postoperative patients are at risk of clinical worsening and minimizing this is vital. Nurses play a vital role in the early detection and management of clinical deterioration as they are the group of professionals with the highest patient contact. MEUSS is stated as a simple risk management tool based on physiological parameters that can allow early detection of clinical deterioration and initiation of the relevant intervention, improving the quality of care and patient safety provided to surgical patients. In this study, with a larger sample, patients will be followed up with MEUSS and a nursing guide for 2 hours in the clinic where they are transferred both after and after ASBU. Our study is a research with the highest sample in this field, in which patients are followed for the longest period of time, and it is thought that MEUSS and nursing guide applications can identify risky patients in the postoperative period and reduce postoperative complications with strict follow-up applied to these patients. The aim of this study; To determine the effect of Nursing Guide Practice (HRU) and Nursing Interventions (HG) on patient outcomes in the care process in surgical patients followed according to MEUSS.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 220
• Est. completion date: January 12, 2023
• Est. primary completion date: October 31, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Having operated under general anesthesia
• transferred to the post-anesthesia care unit (ASBU) and then to the service/ICU followed for 2 hours,
• between 18-65 years old,
• who have not had an operation with general anesthesia in the last six months,
• no serious life-threatening complications developed during surgery,
• patients willing to participate in the study

Exclusion Criteria:

• data unavailable,
• complications during surgery,
• patients who did not undergo general anesthesia

Related Conditions & MeSH terms

• Clinical Deterioration
• Nurse's Role
• Postoperative Complications

Intervention

Other:
• MEWSS and Nursing Guide Application
MEWSS and Nursing Guide application will be used for the patients in the experimental group. According to the Nursing Guide application, patients with MEWS above 4 will be monitored every 5 minutes, while those with a score below 4 will be monitored for 10 minutes. will be followed intermittently. Nursing interventions will be made in accordance with the problems experienced by patients with a score above 4.

Locations

Country	Name	City	State
Turkey	Kocaeli University Hospital	Kocaeli

Sponsors (1)

Lead Sponsor	Collaborator
Kirsehir Ahi Evran University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Effects of MEWSS and NGA use on complications and clinical status	Length of stay in ASBU (minutes), complications developed in ASBU, intervention time to complications (minutes), and where it was transferred after ASBU (clinical or intensive care unit)	From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour
Primary	Effect of MEWSS and NGA use on vital signs and MEWS	Heart rate (beats per minute), respiratory rate (respiratory rate / min.), systolic blood pressure (mmHg), temperature (centigrade degree -°C), level of consciousness (AVPU) and the score obtained from these measurements show MEWS.	From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour
Primary	Effect of MEWSS and NGA use on nursing interventions	Nursing interventions include practices such as oxygen saturation, blood pressure, pulse, respiration, body temperature, alertness, pain monitoring by nurses, positioning and giving medication.	From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour