Reliability of the Aldrete Kroulik Index in the post-anesthetic recovery room
Abstract
Objective: To analyze the reliability of the data recorded in the Aldrete and Kroulik Index (AKI) in the Post-Anesthetic Recovery Room (PARR). Materials and method: Cross-sectional and documentary study conducted in the Post-anesthetic Recovery Room of a university hospital in northeastern Brazil. Data were collected from perioperative nursing care records of 203 patients admitted to the PARR, who underwent elective surgeries from January to September 2019. The reliability analysis included the evaluation of: incompleteness and agreement of the AKI records, through an adapted score and Intraerclass Correlation Coefficient (ICC), respectively. Results: All variables in the study presented a "very low incompleteness" score (below 5%) in the AKI. The parameters "oxygen saturation", "muscle activity", "breathing" and "consciousness" showed excellent/satisfactory agreement classification. The variable circulation presented "unsatisfactory" classification and reveals a fragility of the care team to correctly calculate this parameter. Conclusions: The reliability of the records reveals satisfactory completeness of the AKI and excellent/satisfactory agreement in four of the five parameters evaluated in the post-anesthetic recovery room. However, the observed failures cause legal repercussions, compromise patient safety and interfere with the quality of postoperative care.
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Klein S, Aguiar DCM, Moser GAS, Hanauer MC, Oliveira SR. Patient safety in the context of post-statistical recovery: a convergent assistance study. Rev SOBECC. 2019;24(3),146-153. DOI:https://doi.org/10.5327/Z1414-4425201900030006
Amorim RF,Souza SF,Paula ACSF, Rodrigues LG. Analysis of nursing care records in the post-anesthetic recovery room. Nursing (São Paulo). 2021;24(279):6101-6114. DOI:https://doi.org/10.36489/nursing.2021v24i279p6101-6114
Grison PM, Aguiar DCM, Moser GAS, Hanauer MC, Klein S. Compassionate care in surgical patient recovery: the daily nursing team.Rev SOBECC. 2020;25(3),159-170. DOI:https://doi.org/10.5327/Z1414-4425202000030006
Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização (SOBECC). Diretrizes de práticas em enfermagem cirúrgica e processamento de produtos para a saúde. 8ª ed. Barueri (SP): Manole; 2021.
Borges KR, Bernardo THL, Soares IP, Sarmento PA, Bastos MLA, Santos AAP, Souza EES. Identification of nursing diagnoses in post-anesthetic recovery according to the teory of basic human needs. Research, Society and Development. 2021;10(3):e20210313201.
DOI:https://doi.org/10.33448/rsd-v10i3.13201
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde. Saúde Brasil 2018 uma análise de situação de saúde e das doenças e agravos crônicos: desafios e perspectivas / Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Vigilância de Doenças e Agravos Não Transmissíveis e Promoção da Saúde – Brasília: Ministério da Saúde, 2019.
Deca Júnior A, Brito MVB, Rodrigues LDS, Martins RJS, Rabelo PPC. Preoperative Nursing Visit Check list: Data Quality Assessment. Rev Enferm. UFSM. 2020;10(e22):1-12. DOI:https://doi.org/10.5902/2179769236082
Fisher RA. Statistical Methods for Research Workers. 9a ed rev. London: Angrau Library; 2005.
Macedo JKSS, Silva GWS, Farias IP, Novaes MA, Vasconcelos EL, Pereira EBF. Análisis del grado de dependencia de los cuidados de enfermería en una unidad de recuperación post anestesia. Enfermería Actual Costa Rica. 2020;38(1):67-72. DOI:10.15517/revenf.v0i38.38332
Pereira EBF, Lima GP, Silva HAGB, Teixeira KMH, Modesto BCM, Novaes MA. A quality assessment of immediate postoperative nursing care documentation. Rev SOBECC. 2018;23(1):21-27. DOI:https://doi.org/10.5327/Z1414-4425201800010005
Lima LAA, Santos WSV, Santos MRF, Camelo ABM, Paz RS,Madeira MZA. Nursing interventions against discounts/complications in a post-anesthetic recovery unit. Rev Enferm UFPI. 2019;8(1):54-60. Disponível em:https://ojs.ufpi.br/index.php/reufpi/article/view/7660/pdf
Póvoa FF, Bombig MTN, Póvoa R.Perioperatory evaluation of the hypertensive patient. Rev. bras. Hipertens. 2021;28(4):276-282. DOI:http://dx.doi.org/10.47870/1519-7522/20212804276-82
Dias TLF, Anjos CM, Andrade JML, Funez MI. Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care Unit. Rev. Enferm. UFSM. 2022;12, e42:1-16. DOI:https://doi.org/10.5902/2179769268599
Jardim DP, Machado LVL, Viegas K. Perfil e tempo de permanência de pacientes intensivos assistidos na recuperação pós-anestésica. Rev SOBECC. 2020;25(4):241-46. DOI:https://doi.org/10.5327/Z1414-4425202000040008
Prearo M, Fontes CMB. Sistematização da assistência de enfermagem na sala de recuperação pós-anestésica: revisão integrativa. Enferm Foco. 2019;10(7):135-40. DOI:https://doi.org/10.21675/2357-707X.2019.v10.n7.2470
Ramroop R, Hariharan S, Chen D. Delirium do despertar após anestesia com sevoflurano em adultos: estudo observacional prospective. Rev Bras Anestesiol. 2019;69(3):233-41. DOI:https://doi.org/10.1016/j.bjan.2018.12.003
Barbosa TA, Souza AMF, Leme FCO, Grassi LDV, Cintra FB, Lima RM, et al. Perioperative complications and mortality in elderly patients following surgery for femoral fracture: prospective observational study. Rev. Bras. Anestesiol. 2019;69(6):569-579. DOI:https://doi.org/10.1016/j.bjan.2019.09.004
Amorim RF,Souza SF,Paula ACSF, Rodrigues LG. Análise dos registros da assistência de enfermagem na sala de recuperação pós-anestésica. Nursing (São Paulo).2021;24(279):6101-6114. DOI:https://doi.org/10.36489/nursing.2021v24i279p6101-6114
Fritzen A, Santos DPD, Rocha BSD, Jost MT, Caregnato RCA, Linch GFDC. Implementation of transoperative and immediate postoperative nursing diagnoses in the computerized management system. Rev Esc Enferm USP. 2023;14;57:e20220123. DOI:10.1590/1980-220X-REEUSP-2022-0123en
Prates A,Colognese B,Caumo W,Stefani LC. Development of a recovery-room discharge checklist (SAMPE checklist) for safe handover and its comparison with Aldrete and White scoring systems. Braz J Anesthesiol. 2022;72(2):200-206. DOI:https://doi.org/10.1016/j.bjane.2021.07.004
Koerich C, Erdmann AL, Lanzoni, GMM. Interação profissional na gestão da tríade: educação permanente em saúde, segurança do paciente e qualidade. Rev. Latino-Am.
Enfermagem. 2020;28:e3379. DOI:https://doi.org/10.1590/1518-8345.4154.3379
Njambi M,Rawson H, Redley B.A brief intervention to standardize postanesthetic clinical handoff. Nurs Health Sci.2021;23(1):219-226. DOI:10.1111/nhs.12803
Dantas RDS, Santana RF, Carmo TG, Tinoco JMPV, Cavalcanti ACD, Souza PA.Perceptions of patients on delayed surgical recovery: validation of the nursing diagnosis.CiencCuidSaude. 2023;22:e61986. DOI: 10.4025/ciencuidsaude.v22i0.61986
Jardim DP, Lopes Machado LV, Viegas K. Profile and length of stay of intensive care patients admitted to the post-anesthesia care unit. Rev SOBECC. 2020;25(4):241-6. DOI:https://doi.org/10.5327/Z1414-4425202000040008.
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