Please use this identifier to cite or link to this item: https://hdl.handle.net/10137/5838
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dc.contributor.authorTruong, Len
dc.contributor.authorMoran, J Len
dc.contributor.authorBlum, Pen
dc.date.accessioned2018-05-15T23:02:02Zen
dc.date.available2018-05-15T23:02:02Zen
dc.date.issued2004-02en
dc.identifier.citationAnaesthesia and intensive care 2004-02; 32(1): 33-42en
dc.identifier.issn0310-057Xen
dc.identifier.urihttps://hdl.handle.net/10137/5838en
dc.description.abstractThis prospective cohort analysis compared the efficiency of time-based discharge criteria (Group 1) to a modified clinical scoring system (Group 2), incorporating the assessment of pain and temperature, in the post anaesthesia care unit (PACU). Two consecutive series of patients (n = 292) were assessed following general anaesthesia for various surgical procedures. The time taken for patients to satisfy their respective discharge criteria was recorded as PACU length of stay (LOS). Patient group and other factors that may have influenced PACU-LOS were examined using time-to-event analysis. The raw PACU-LOS was not shown to be different between the two groups (log rank test, P = 0.12). Covariate adjusted estimates were used to compare the two discharge criteria and also to identify other factors influencing PACU-LOS. The Cox regression model was poorly specified and a log-logistic accelerated failure time model was found to be the most parsimonious predictive model. Predictors of decreased PACU-LOS were the treatment group (Group 2 versus Group 1) and the covariate recording anaesthetic airway choice (no endotracheal tube (ETT) versus ETT). Surgical time, as a linear function, intra- and postoperative opioid administration, as well as postoperative antiemetic use were predictors of increased PACU-LOS. Patient age, gender, urgency of surgery, and ASA classification were not predictive of PACU-LOS. Using covariate adjusted estimates, the new PACU discharge criteria, based on the Aldrete's scoring system, was associated with a significantly reduced PACU-LOS in comparison with time-based criteria.en
dc.description.provenanceMade available in DSpace on 2018-05-15T23:02:02Z (GMT). No. of bitstreams: 0 Previous issue date: 2004-02en
dc.language.isoengen
dc.titlePost anaesthesia care unit discharge: a clinical scoring system versus traditional time-based criteria.en
dc.typeComparative Studyen
dc.typeJournal Articleen
dc.identifier.journaltitleAnaesthesia and intensive careen
dc.identifier.pubmedidhttps://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/15058119en
dc.subject.meshAdulten
dc.subject.meshCohort Studiesen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshLength of Stayen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshPain Measurementen
dc.subject.meshPostoperative Careen
dc.subject.meshProspective Studiesen
dc.subject.meshRecovery Roomen
dc.subject.meshSurvival Analysisen
dc.subject.meshTime Factorsen
dc.subject.meshAnesthesia Recovery Perioden
dc.subject.meshPatient Dischargeen
dc.identifier.affiliationDepartment of Anaesthesia, Royal Darwin Hospital, Darwin, Northern Territory..en
dc.identifier.pubmedurihttps://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/15058119en
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