Evaluation of the Modified Early Warning Scoring System

Kocaeli University

Status: Completed

Conditions: Postoperative Complications; Nurse's Role; Clinical Deterioration

Treatments: Other: MEWSS and Nursing Guide Application

Study type: Interventional

Funder types: Other

Identifiers

NCT05575531

KAEK/17.bI.02

Details and patient eligibility

About

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.

Full 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.

Enrollment: 220 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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220 participants in 2 patient groups

Experimental Group

Experimental group

Description:

MEWSS and Nursing Guide Application will be used in the study group. MEWSS: The Modified Early Warning Score (MEWS) consists of a simple to use algorithm based on physiological parameters such as heart rate, respiratory rate, systolic blood pressure, temperature and level of consciousness. Nursing Guide Application (NGA): According to the follow-up carried out in this study: If the patient's MEWSS is 4 or below, a ten-minute follow-up was performed. If the MEWSS is five, then five-minute follow-up is passed, and if the score has not changed as a result of the follow-ups, five-minute follow-ups are continued. If the score decreased to four or less, ten-minute follow-up was started, if the score increased, five-minute follow-ups were continued, and the emergency team was informed and the patient was evaluated (the emergency team was informed about the study).

Treatment:

Other: MEWSS and Nursing Guide Application

Control Group

No Intervention group

Description:

In the control group, the patients followed according to the Modified Early Warning Scoring System received routine care in the clinic.