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

• Main Authors: Luciana Falcão da Cruz, Márcia Marques dos Santos Felix, Maria Beatriz Guimarães Ferreira, Patrícia da Silva Pires, Elizabeth Barichello, Maria Helena Barbosa
• Format: Article
• Language: English
• Published: Associação Brasileira de Enfermagem
• Series: Revista Brasileira de Enfermagem
• Subjects: Perioperative Nursing; Postoperative Pain; Care Unit; Elective Surgical Procedures; Postoperative Complications
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018000603013&lng=en&tlng=en
• ISSN: 1984-0446

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.