Clinical trial NCT05575531: Evaluation of the Modified Early Warning Scoring System
Official title: The Effect of Modified Early Warning Scoring System and Nursing Guide Practices on Postoperative Patient Outcomes
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Clinical Deterioration
Postoperative Complications
Nurse's Role
Keywords: Clinical deterioration
early warning score
nursing assessment
postoperative care
surgical nursing
Lead sponsor: Kocaeli University
Sponsor class: OTHER
First posted: 2022-10-12
Enrollment: 220
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized-controlled clinical trial
Primary purpose: SUPPORTIVE_CARE

Brief 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Effects of MEWSS and NGA use on complications and clinical status
timeFrame: From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour
measure: Effect of MEWSS and NGA use on vital signs and MEWS
timeFrame: From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour
measure: Effect of MEWSS and NGA use on nursing interventions
timeFrame: From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour
Secondary outcomes:
Other outcomes:
Locations:
city: Kocaeli
country: Turkey
facility: Kocaeli University Hospital
Study officials:
affiliation: Kocaeli University
name: Selda MERT, Assist.Dr.
role: PRINCIPAL_INVESTIGATOR
References: