NCT02143128

Efficacy Side-effect Score (ESS): Development and Evaluation of a New Tool for Patients After Surgery

Safety and Quality for Inpatients After Surgery at the Ward. Development and Evaluation of a New Tool: Efficacy Side-effect Score (ESS)

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,152 (actual)
• Sponsor: Vestre VikenHF Kongsberg Sykehus · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

We hypothesized that better control of postoperative pain treatment and its side effects by monitoring ESS might influence the degree of mobility and morbidity in surgical patients and consequently reduce LOS. Thus, our aim was to validate the influence of recording ESS and the application of a "call-out algorithm" on LOS in two university hospitals in which the routine policy of registration of pain had not been adopted yet.

Detailed description

Using clinical experience and consensus-methodology the investigators picked up and digitalized information about mental, postoperative nausea, vomiting and pain status at the rest and during mobilization in so called Efficacy Safety Score (ESS). Depending on expression of patient's complaints, all mentioned above clinical features are scored. We hypothesized that better control of postoperative pain treatment and its side effects by monitoring ESS might influence the degree of mobility and morbidity in surgical patients and consequently reduce length of hospital stay (LOS). Thus, our aim was to validate the influence of recording ESS and the application of a "call-out algorithm" on LOS in two university hospitals in which the routine policy of registration of pain had not been adopted yet. The primary endpoint of the study was to assess LOS in groups of patients with different types of clinical data records and "call-out algorithms," while secondary endpoints were to compare the degree of mobilization, number of postoperative nonsurgical complications, and 28-day survival between the groups.and summarized in the total score.

Conditions

• Postoperative Pain
• Postoperative Vomiting and Nausea
• Postoperative Complications
• Mental Status Changes Postoperative

Interventions

Type	Name	Description
OTHER	Efficacy Safety Score	Evaluation using the score for postoperative patients
OTHER	Verbal Numeric Rating Scale	Patients assessed for postoperative pain using VNRS (0-10)

Timeline

• Start date: 2014-03-01
• Primary completion: 2015-04-01
• Completion: 2015-05-01
• First posted: 2014-05-20
• Last updated: 2023-09-11
• Results posted: 2023-09-11

Locations

2 sites across 2 countries: Kazakhstan, Russia