| A comparison of an evidence based regime with the standard protocol for monitoring postoperative observation: a randomised controlled trial. | |
| | |
MedLine Citation:
|
PMID: 16496813 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Monitoring patients' vital signs is an important component of postoperative observations. OBJECTIVE: To compare the safety and efficacy of the current standard practice for monitoring postoperative observations in one hospital with an experimental protocol. METHOD: Patients who were classified as American Society of Anaesthesiologists (ASA) Class 1 or 2 and who met the inclusion criteria were randomised to one of two groups. Following their return to the ward from the recovery unit, these patients were monitored according to either the standard practice (n=96) or the experimental protocol (n=93). Data collected included patient demographics, medical and surgical history, the postoperative observations and the number and type of untoward events. RESULTS: The findings indicated that there was no statistically significant difference in the incidence of abnormal vital signs between the groups in the first four hours as well as within the 24 hours following return to the ward from the recovery unit. Additionally, none of the patients required either transfer to the intensive care unit /high dependency unit or management by the intensive care team. Patients in both groups were successfully discharged within 24 hours following surgery. CONCLUSION: This study provides evidence to inform clinicians of a safe and cost effective regime in the management of the patient in the postoperative period following discharge from the recovery to the ward. Clinicians, however, must utilise clinical judgement to determine which patients require close monitoring during the postoperative period. |
| | |
Authors:
|
Ritin Fernandez; Rhonda Griffiths |
Related Documents
:
|
18090383 - Mortality and length-of-stay outcomes, 1993-2003, in the binational australian and new ... 8039063 - A predictive index for length of stay in the intensive care unit following cardiac surg... 10194693 - Nausea and vomiting after laparoscopic gynecological surgery: a study of the incidence ... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
|
Title: The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation Volume: 23 ISSN: 0813-0531 ISO Abbreviation: Aust J Adv Nurs Publication Date: 2005 Sep-Nov |
Date Detail:
|
Created Date: 2006-02-24 Completed Date: 2006-04-04 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8409358 Medline TA: Aust J Adv Nurs Country: Australia |
Other Details:
|
Languages: eng Pagination: 15-21 Citation Subset: N |
Affiliation:
|
South Western Sydney Centre for Applied Nursing Research, School of Nursing, Family and Community Health University of Western Sydney, New South Wales, Australia. ritin.fernandez@swsahs.nsw.gov.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Blood Pressure Body Temperature Clinical Protocols* Evidence-Based Medicine / methods* Female Heart Rate Humans Male Middle Aged New South Wales Outcome and Process Assessment (Health Care) Postoperative Care / nursing, standards* Postoperative Complications / diagnosis*, nursing Pulse Respiration |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Medication knowledge and self-management by people with type 2 diabetes.
Next Document: What were the outcomes of home follow-up visits after postpartum hospital discharge?