Influence of socio-demographic, clinical and surgical variables on the Aldrete-Kroulik Scoring System

Abstract

Objective: To identify the influence of the variables sex, age, type of anesthesia, occurrence of intraoperative complications, pain and surgical complexity on the Aldrete-Kroulik Scoring System in patients in the immediate postoperative period, in the post-anesthesia care unit. Method: Non-experimental, longitudinal study, with a quantitative approach, conducted with 241 surgical patients. Descriptive analysis, Student’s t-test, Pearson and Spearman Correlation Indexes and multiple linear regression were used to analyze the data. Results: Correlations between the Aldrete-Kroulik Scoring System and pain (r=-0.13; p=0.05) and surgical complexity (r=-0.12; p=0.05) were statistically significant. The type of anesthesia and pain (p<0.01) influenced the decrease of the Aldrete-Kroulik System’s scores. Conclusion: Considering the vulnerability of patients in the immediate postoperative period, it is essential for the nurse to know the factors that can influence the Aldrete-Kroulik Scoring System to provide a safe and optimal post-anesthesia recovery.

Diagnósticos de enfermagem em recuperação pós-anestésica: intervenções e resultados segundo linguagens padronizadas

“…(11) Em SRPA, o planejamento da assistência de enfermagem deve ser considerado como um instrumento de segurança e qualidade, onde a promoção do cuidado no POI baseado em linguagem padronizada possibilita ao enfermeiro subsidiar ações de cuidado e de gestão, facilitar o dimensionamento de recurso humano e material, fortalecer a educação permanente, e dar visibilidade e autonomia ao processo de trabalho do enfermeiro. (12)(13) Desse modo, os objetivos do presente estudo foram: realizar mapeamento cruzado entre os diagnósticos de enfermagem da NANDA-I com os registros manuais de enfermagem em SRPA; e propor intervenções e resultados, segundo linguagens padronizadas.…”

General anesthesia is predictive for occurrence of postoperative pain

“…Complaint of pain is reported by 80% of patients in postoperative period (PP), being more intense in the first hours after the surgical procedure 1,2 . The incidence of pain in post-anesthetic care unit (PACU) varies from 25.9 to 45.2% [3][4][5] . This complication leads to physiological changes, increased morbidity and mortality in the PP and prolongation of stay in PACU, influencing the flow of the surgical center 1,3,[4][5][6] .…”

“…The incidence of pain in post-anesthetic care unit (PACU) varies from 25.9 to 45.2% [3][4][5] . This complication leads to physiological changes, increased morbidity and mortality in the PP and prolongation of stay in PACU, influencing the flow of the surgical center 1,3,[4][5][6] . Furthermore, the worse quality of postoperative recovery impacts on patient safety and satisfaction 7 .…”