Identifying Patients in Risk of Post-operative Complications Using PACU Discharge Criteria and Need for Interventions in the PACU Setting
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Clinical in-hospital complications
研究概览
简要总结
In the Postoperative Care Unit surgical patients are monitored closely to ensure safe condition before transfer to the ward. This study will aim to identify patients in risk of complications on the ward using the national postanesthesia care unit (PACU) discharge criteria, a modified Aldretes score. Secondary to identify patients in risk of micro events as detected by continuous monitoring of vital signs on the ward.
详细描述
Patients undergoing esophageal resection and pancreaticoduodenectomy are at high risk of developing complications after surgery. Described patient groups are monitored for at least 24 hours in PACU before returning to the ward.
In Denmark physiological parameters are assessed in the PACU every hour until discharge using the DASAIM discharge criteria (A modified Aldrete score).
The PACU discharge score is calculated on parameters including sedation, respiratory rate, saturation, systolic blood pressure, puls, physical capability (if epidural or spinal anesthesia), pain in rest, nausea, diuresis and temperature. Each parameter is given a score between 0 and 3. 0 describes no problem and 3 describes a severe problem.
The investigators will investigate the predictive value of the PACU discharge criteria and interventions in the PACU setting, to identify patients at risk of developing postoperative complications. Secondary outcome is micro events on the ward. Patients vital signs are monitored continuously from PACU discharge until the 5th postoperative day. Micro events are defined as deviations of vital parameters from normal range.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 60 Years 至 110 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Elective surgery
- •Pancreaticoduodenectomy (KJLC30)
- •Transthoracic esophageal resection without interposition (KJCC10)
排除标准
- •Patients not expected to be able to cooperate
- •Patients not cognitive well (Mini Mental State Examination < 24)
- •Pacemaker
- •Patients with allergies including band aid, plastic and silicone
结局指标
主要结局
Clinical in-hospital complications
时间窗: until discharge, up to 90 days
Occurence of clinical complications occuring during the hospital stay (pneumonia, myocardial infarction, brain stroke, renal impairment, etc), based upon international definitions
次要结局
- bradypnea(During the first 4 postoperative days)
- Hypotension(During the first 4 postoperative days)
- Very severe desaturation(During the first 4 postoperative days)
- Tachypnea(During the first 4 postoperative days)
- Severe tachypnea(During the first 4 postoperative days)
- Severe desaturation(During the first 4 postoperative days)
- Clinical out of hospital complications(until 96 days postoperatively)
- Bradycardia(During the first 4 postoperative days)
- Tachycardia(During the first 4 postoperative days)
- Severe hypotension(During the first 4 postoperative days)
研究者
Eske Kvanner Aasvang
Head of research, Clinical professor, Principal Investigator
Rigshospitalet, Denmark