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NCT Number: NCT05575531

Evaluation of the Modified Early Warning Scoring System

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.

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Key information

Conditions

Clinical Deterioration Disease Attributes Disease Progression Nurse's Role Pathologic Processes Pathological Conditions, Signs and Symptoms Postoperative Complications

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kocaeli University Hospital

Kocaeli, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

MEWSS and Nursing Guide Application

Other

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.

Primary outcomes

  1. Effects of MEWSS and NGA use on complications and clinical status

    Time frame: From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour

    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)

  2. Effect of MEWSS and NGA use on vital signs and MEWS

    Time frame: From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour

    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.

  3. Effect of MEWSS and NGA use on nursing interventions

    Time frame: From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour

    Nursing interventions include practices such as oxygen saturation, blood pressure, pulse, respiration, body temperature, alertness, pain monitoring by nurses, positioning and giving medication.

Sponsors and collaborators

Lead sponsor

Kocaeli University

Other

Registry information

Official study title

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

Important dates

Study start
2022
Primary completion
2022
Study completion
2023
First posted
Oct 12, 2022
Registry last updated
Oct 10, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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