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Efficacy Safety Score in Postoperative Management

Primary Purpose

Pain, Postoperative, Postoperative Nausea and Vomiting

Status
Completed
Phase
Not Applicable
Locations
Norway
Study Type
Interventional
Intervention
Efficacy Safety Score monitoring
Sponsored by
St. Olavs Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Pain, Postoperative focused on measuring Patient safety, Postoperative care, Monitoring, physiologic, Safety management

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • undergoing surgery
  • expectedly to be treated and observed in hospital for more than 24 hours postoperatively

Exclusion Criteria:

  • refusal of participation
  • poor communication capabilities

Sites / Locations

  • St Olav University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Efficacy Safety Score monitoring

Regular

Arm Description

Patients monitored with wireless vital signs and Efficacy Safety Score after discharge from the post-anesthesia care unit to an ordinary ward

Patients receiving standard postoperative care after discharge from the post-anesthesia care unit to an ordinary ward

Outcomes

Primary Outcome Measures

Time to Mobilization
The measured postoperative time when patient can stand and able to walk one or more steps, with or without support

Secondary Outcome Measures

Pain Measurement, Verbal Numeric Rating Scale
Reported pain hourly on a 11-digit scale, called Verbal Numeric Rating Scale for pain, 0-10 where 0 is no pain, and 10 is worst thinkable pain. Higher scores mean a worse outcome.
Patient Satisfaction
Reported patient satisfaction on a 1-5 scale, (Likert scale), where 1 is Very dissatisfied, and 5 is Very satisfied. Higher scores mean a better outcome.

Full Information

First Posted
February 13, 2018
Last Updated
September 2, 2020
Sponsor
St. Olavs Hospital
Collaborators
Norwegian University of Science and Technology
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1. Study Identification

Unique Protocol Identification Number
NCT03438578
Brief Title
Efficacy Safety Score in Postoperative Management
Official Title
Use of Efficacy Safety Score in Postoperative Management: A Prospective, Randomized Study
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
March 5, 2018 (Actual)
Primary Completion Date
October 18, 2018 (Actual)
Study Completion Date
March 1, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
St. Olavs Hospital
Collaborators
Norwegian University of Science and Technology

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary aim of this project is to determine whether postoperative patients may benefit from the Efficacy Safety Score (ESS) as a tool for postoperative clinical decision support, with a special focus on the first 24 hours after discharge from the postoperative care unit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain, Postoperative, Postoperative Nausea and Vomiting
Keywords
Patient safety, Postoperative care, Monitoring, physiologic, Safety management

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Efficacy Safety Score monitoring
Arm Type
Experimental
Arm Description
Patients monitored with wireless vital signs and Efficacy Safety Score after discharge from the post-anesthesia care unit to an ordinary ward
Arm Title
Regular
Arm Type
No Intervention
Arm Description
Patients receiving standard postoperative care after discharge from the post-anesthesia care unit to an ordinary ward
Intervention Type
Device
Intervention Name(s)
Efficacy Safety Score monitoring
Other Intervention Name(s)
Isansys, Patient Gateway System
Intervention Description
According to data gathered from ESS and monitoring, the patients will receive needed care.
Primary Outcome Measure Information:
Title
Time to Mobilization
Description
The measured postoperative time when patient can stand and able to walk one or more steps, with or without support
Time Frame
24 hours
Secondary Outcome Measure Information:
Title
Pain Measurement, Verbal Numeric Rating Scale
Description
Reported pain hourly on a 11-digit scale, called Verbal Numeric Rating Scale for pain, 0-10 where 0 is no pain, and 10 is worst thinkable pain. Higher scores mean a worse outcome.
Time Frame
24 hours
Title
Patient Satisfaction
Description
Reported patient satisfaction on a 1-5 scale, (Likert scale), where 1 is Very dissatisfied, and 5 is Very satisfied. Higher scores mean a better outcome.
Time Frame
24 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: undergoing surgery expectedly to be treated and observed in hospital for more than 24 hours postoperatively Exclusion Criteria: refusal of participation poor communication capabilities
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Johan Raeder, Prof
Organizational Affiliation
University of Oslo
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Erik Solligård, MD PhD
Organizational Affiliation
St. Olavs Hospital
Official's Role
Study Director
Facility Information:
Facility Name
St Olav University Hospital
City
Orkdal
Country
Norway

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
31608431
Citation
Skraastad EJ, Borchgrevink PC, Nilsen TIL, Raeder J. Postoperative quality and safety using Efficacy Safety Score (ESS) and a wireless patient monitoring system at the ward: A randomised controlled study. Acta Anaesthesiol Scand. 2020 Mar;64(3):301-308. doi: 10.1111/aas.13492. Epub 2019 Nov 12.
Results Reference
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Efficacy Safety Score in Postoperative Management

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