Perioperative Care and Operating Room Management最新文献

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Mapping the Flexible Endoscope Disinfection Cycle indicates the Need for Risk Reduction Strategies for Task Complexity and Environmental Stressors
Perioperative Care and Operating Room Management Pub Date : 2025-01-31 DOI: 10.1016/j.pcorm.2025.100478
Abner M.P. Barbosa , Mark J. Saari , Peter F. Nichol
{"title":"Mapping the Flexible Endoscope Disinfection Cycle indicates the Need for Risk Reduction Strategies for Task Complexity and Environmental Stressors","authors":"Abner M.P. Barbosa ,&nbsp;Mark J. Saari ,&nbsp;Peter F. Nichol","doi":"10.1016/j.pcorm.2025.100478","DOIUrl":"10.1016/j.pcorm.2025.100478","url":null,"abstract":"<div><h3>Introduction</h3><div>Endoscopes carry a significant infectious risk if not properly sterilized. We mapped the total tasks required to properly sterilize an endoscope and conducted theoretical risk modeling to define tasks at greatest risk for error in this process.</div></div><div><h3>Methods</h3><div>observations were conducted on a hospital campus in the following spaces: operating room, sterile processing pre-washer side, sterile processing post-washer side, and storage. The total number of tasks and the stress level in each space were determined. Each task was assigned an error rate based on a complexity scale in Smith's textbook <em>Reliability, Maintainability and Risk</em>, 7th Ed. Tasks in low stress spaces were assigned the lowest possible error rate per task type and those in high stress environments were assigned the highest error rate per task type. Risk of error score (RES) for each space and an overall RES was calculated by adding up all the assigned task error rates.</div></div><div><h3>Results</h3><div>observations were conducted on 22 flexible endoscopes. Seventy-five tasks were identified. Each was performed by a human. Fifty-two tasks were performed in sterile processing which had the highest stress score and highest number of complicated, non-routine tasks. The aggregate RES per endoscope. was 3.0832 The majority of risk (94.%) mapped to sterile processing (RES of 2.918).</div></div><div><h3>Conclusions</h3><div>proper sterilization of endoscopes involves 75 tasks. The majority of the RES maps to the high stress SPD environment. Strategies that reduce stress levels and the complexity of tasks in this space would significantly reduce the risk of errors in sterilization.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100478"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of mobile device use among healthcare providers in the operating theatres: Perceptions and distractions
Perioperative Care and Operating Room Management Pub Date : 2025-01-30 DOI: 10.1016/j.pcorm.2025.100474
Betül Kocamer Şimşek, Yunus Baydilek, Soner Karadaş, Ahmet Aykut Akyılmaz
{"title":"Prevalence of mobile device use among healthcare providers in the operating theatres: Perceptions and distractions","authors":"Betül Kocamer Şimşek,&nbsp;Yunus Baydilek,&nbsp;Soner Karadaş,&nbsp;Ahmet Aykut Akyılmaz","doi":"10.1016/j.pcorm.2025.100474","DOIUrl":"10.1016/j.pcorm.2025.100474","url":null,"abstract":"<div><h3>Background</h3><div>Distractions in the operating theatre can significantly impair surgical performance and patient safety. This study investigates the various sources of distractions, particularly focusing on technological and non-technological factors, and their differential impact across various occupational roles within anesthesiology.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted involving 169 anes- thesiology professionals categorized into three groups: residents, technicians, and specialists. Data were collected via structured questionnaires, capturing both quantitative and qualitative aspects of workplace distractions. Statis- tical analysis included ANOVA, Kruskal-Wallis tests, Pearson's chi-square test, and multivariate analysis of covariance, adhering to STROBE guide- lines.</div></div><div><h3>Results</h3><div>The multivariate analysis of covariance revealed significant occupational effects on distraction-related variables (Pillai's Trace = 0.323, F(32, 298) = 1.80, <em>p</em> = 0.007). Significant findings included higher levels of mobile phone use for texting, gaming, and media consumption among specialists compared to other groups. Texting on the phone (F(2, 163) = 6.37, <em>p</em> = 0.002), playing games on phone (F(2, 163) = 8.39, <em>p</em> &lt; 0.001), and watching movies/series on phone (F(2, 163) = 4.15, <em>p</em> = 0.018) were notably higher among specialists.</div></div><div><h3>Conclusion</h3><div>The study highlights the need for comprehensive inter- ventions to mitigate the effects of distractions in surgical environments, in- cluding policy formulation for mobile device usage and strategies to improve team dynamics and environmental conditions. Future research should focus on longitudinal assessments to evaluate the effectiveness of interventions and explore the broader implications across different healthcare settings.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100474"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of post operative analgesia following intraperitoneal instillation of ropivacaine with or without dexamethasone for patients undergoing laparoscopic surgeries
Perioperative Care and Operating Room Management Pub Date : 2025-01-30 DOI: 10.1016/j.pcorm.2025.100475
Adibur Rahman, Sadia Ummer, Kamaludeen S, Cheran K
{"title":"Comparison of post operative analgesia following intraperitoneal instillation of ropivacaine with or without dexamethasone for patients undergoing laparoscopic surgeries","authors":"Adibur Rahman,&nbsp;Sadia Ummer,&nbsp;Kamaludeen S,&nbsp;Cheran K","doi":"10.1016/j.pcorm.2025.100475","DOIUrl":"10.1016/j.pcorm.2025.100475","url":null,"abstract":"<div><h3>Aim</h3><div>To analyse how combining ropivacaine with dexamethasone in multimodal analgesia amplifies pain management and decreases postoperative discomfort (including nausea, vomiting, and rescue analgesia use) compared to using ropivacaine alone in patients undergoing laparoscopic surgery, with a focus on improving recovery outcomes.</div></div><div><h3>Results</h3><div>The initial patient distribution between groups showed no significant difference, our study highlighted substantial differences in key outcomes. Patients receiving multimodal analgesia (ropivacaine with dexamethasone) had significantly less postoperative nausea, vomiting, lower pain scores (VAS), decreased need for rescue analgesia, and longer intervals before requiring additional pain relief compared to those receiving ropivacaine alone.</div></div><div><h3>Conclusion</h3><div>Combining ropivacaine with dexamethasone for laparoscopic surgery patients gives superior pain relief compared to using ropivacaine alone. This dual approach not only reduces pain more effectively but also reduces nausea, vomiting, and the use of additional pain medication. It aims to enhance postoperative comfort and expedite recovery for patients undergoing these procedures.\"</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100475"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143342843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review on the impact of national guidelines on clinical practice and patient safety in the context of perioperative care
Perioperative Care and Operating Room Management Pub Date : 2025-01-26 DOI: 10.1016/j.pcorm.2025.100477
Gráinne Brady , Sigrún Eyrúnardóttir Clark , Duncan Wagstaff , Cecilia Vindrola-Padros
{"title":"A systematic review on the impact of national guidelines on clinical practice and patient safety in the context of perioperative care","authors":"Gráinne Brady ,&nbsp;Sigrún Eyrúnardóttir Clark ,&nbsp;Duncan Wagstaff ,&nbsp;Cecilia Vindrola-Padros","doi":"10.1016/j.pcorm.2025.100477","DOIUrl":"10.1016/j.pcorm.2025.100477","url":null,"abstract":"<div><div>This systematic review identifies and assesses national guidelines that are used to improve clinical practice and patient safety in perioperative care. The authors searched, MEDLINE, Embase, Cumulative Index of Nursing and Allied Health Literature (CINAHL Plus) and Health Management Information Consortium (HMIC) to identify relevant studies published from January 2014 until May 2024. Two researchers screened a total of 727 studies (which yielded 37 eligible studies), extracted data and rated study quality using the Mixed Methods Appraisal Tool (MMAT). The most common national guidelines identified were the Enhanced Recovery After Surgery (ERAS) and the WHO Surgical Safety Checklist (WHO SSC). 13 studies identified improvements in morbidity, 10 a decrease in length of stay and 1 a decrease in readmission. Strength of evidence was high (18 studies rated as high), with most studies being pre-post evaluations. The evidence leans to suggest that the implementation of national guidelines can improve patient outcomes, however, this conclusion should be considered in light of all the available evidence.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100477"},"PeriodicalIF":0.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Operating in the Cacophony: A quasi-experimental exploration of noises in the orthopedic surgery setting
Perioperative Care and Operating Room Management Pub Date : 2025-01-22 DOI: 10.1016/j.pcorm.2025.100471
Amy Reed , Alaina Tellson
{"title":"Operating in the Cacophony: A quasi-experimental exploration of noises in the orthopedic surgery setting","authors":"Amy Reed ,&nbsp;Alaina Tellson","doi":"10.1016/j.pcorm.2025.100471","DOIUrl":"10.1016/j.pcorm.2025.100471","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to determine if an interactive educational program regarding noise reduction would reduce noise levels in an orthopedic OR setting.</div></div><div><h3>Methods</h3><div>A quasi-experimental design was used for this study.</div></div><div><h3>Findings</h3><div>Results from pre-intervention were lower than post intervention. The pre-intervention mean was 73.4 dB where the post-intervention was 74.1 dB. There was no statistically significance between pre- and post- intervention results (<em>t</em> = -1.292, <em>p</em> = 0.099). The results were in alignment with previous studies conducted on noise levels in the OR.</div></div><div><h3>Conclusions</h3><div>Staff in the OR should work to minimize noise and distraction which they can control, such as music levels and non-patient care conversations. Noise should be kept to an absolute minimum during critical phases of the intraoperative procedure such as time out periods, surgical counts, critical dissections, medication administration/graft preparations, confirming/opening of implant, induction and emergence from anesthesia, and care and handling of specimens.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100471"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preoperative Fasting Time and Factorrs Affecting Adherence to Preoperative Fasting Time Among Adult Patient Undergoing Elective Surgery at Siant Paul's Hospital Millennium Medical College, Adis Ababa Ethiopia
Perioperative Care and Operating Room Management Pub Date : 2025-01-22 DOI: 10.1016/j.pcorm.2025.100470
Wakjira Lemma Baye , Endala Gedefa Kitessa
{"title":"Preoperative Fasting Time and Factorrs Affecting Adherence to Preoperative Fasting Time Among Adult Patient Undergoing Elective Surgery at Siant Paul's Hospital Millennium Medical College, Adis Ababa Ethiopia","authors":"Wakjira Lemma Baye ,&nbsp;Endala Gedefa Kitessa","doi":"10.1016/j.pcorm.2025.100470","DOIUrl":"10.1016/j.pcorm.2025.100470","url":null,"abstract":"<div><h3>Introduction</h3><div>Preoperative fasting is a time-tested professional practice that is undertaken for physiological and precautionary benefits to patients globally. Adherence to preoperative fasting guidelines is crucial for ensuring patient safety and minimizing complications during surgical procedures.</div></div><div><h3>Objective</h3><div>This study aimed to assess preoperative fasting times and factors affecting adherence to fasting guidelines among adult patients undergoing elective surgery at St. Paul's Hospital Millennium Medical College.</div></div><div><h3>Methods</h3><div>A cross-sectional study involving 277 patients who underwent elective surgery at St. Paul Hospital Millennium Medical College was conducted. A stratified sampling technique was used to assign samples for each stratum (type of surgery), and a systematic random sampling technique was used to select participants from each stratum. Data on sociodemographic and clinical characteristics, preoperative fasting instructions, knowledge, and actual fasting times were collected via a structured questionnaire. Descriptive statistics and logistic regression analyses were performed to identify factors associated with adherence to fasting guidelines. Statistical significance of <em>P</em> &lt; 0.25 for bivariate regression and <em>P</em> &lt; 0.05 for multivariate regression were considered.</div></div><div><h3>Results</h3><div>Most patients fasted considerably longer than recommended, with mean fasting times of 9.76 ± 3.21 h for clear fluids, 10.84 ± 2.92 h for semisolids, and 11.92 ± 2.89 h for solids. Only 10.9 % of patients knew the importance of fasting before surgery, and 92.7 % did not receive information about why avoiding food and fluids was necessary. Factors significantly associated with poor adherence to fasting guidelines included being scheduled second or later for surgery (AOR: 5.199, 95 % CI: 1.412–19.143) and having no previous history of surgery (AOR: 8.746, 95 % CI: 2.462–31.072).</div></div><div><h3>Conclusion</h3><div>Prolonged preoperative fasting times and poor adherence to fasting guidelines were observed among the study participants. Patient education, standardized protocols, and multidisciplinary collaboration are recommended to improve adherence, enhance patient safety, and promote better anesthesia and surgical outcomes.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100470"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comparative study between the impact of ultrasound guided Pericapsular Nerve Group Block (PENG) versus Fascia Iliaca Compartment Block (FICB) on the quality of postoperative analgesia and ambulation in hip arthroplasty
Perioperative Care and Operating Room Management Pub Date : 2025-01-18 DOI: 10.1016/j.pcorm.2025.100469
Tamer Nabil Abdelrahman, Moustafa Mahmoud Abdelsattar, Mohamed Abdelmoneim Fouly, Mohsen Abdelghany Bassiouny, Sahar Mohamed Talaat
{"title":"A comparative study between the impact of ultrasound guided Pericapsular Nerve Group Block (PENG) versus Fascia Iliaca Compartment Block (FICB) on the quality of postoperative analgesia and ambulation in hip arthroplasty","authors":"Tamer Nabil Abdelrahman,&nbsp;Moustafa Mahmoud Abdelsattar,&nbsp;Mohamed Abdelmoneim Fouly,&nbsp;Mohsen Abdelghany Bassiouny,&nbsp;Sahar Mohamed Talaat","doi":"10.1016/j.pcorm.2025.100469","DOIUrl":"10.1016/j.pcorm.2025.100469","url":null,"abstract":"<div><h3>Background</h3><div>Hip surgeries are one of the common orthopedic surgeries, especially in the geriatricnpopulation following trauma, postoperative pain control and early ambulation are the main concerns for decreasing hospital stay and postoperative complications. We aimed to analyze the ultrasound-guided pericapsular nerve group block (PENG) effect versus fascia iliaca compartment block (FICB) on the time needed for unaided mobilization and postoperative analgesics consumption in hip arthroplasty.</div></div><div><h3>Methods</h3><div>The study was a randomized, prospective, comparative study carried out at Ain Shams University Hospital where 44 patients subjected to hip arthroplasty were randomized into two equal groups; Group (F) in which patients received FICB under ultrasound guidance and Group (P) in which patients received PENG under ultrasound guidance. Both blocks were performed by injecting 20 mL of 0.25 % bupivacaine immediately after spinal anesthesia. The time needed for unaided mobilization was assessed by the time up and go test (TUG) and postoperative pain was assessed by visual analogue scale (VAS) in the first 24 h postoperatively.</div></div><div><h3>Results</h3><div>Regarding ambulation data over the first 24 h following surgery, the time needed for unaided mobilization was significantly shorter in the PENG group than FICB group. No statistically significant differences were determined between both groups as regards postoperative complications, total narcotic consumption, and VAS score. Conclusions: The Pericapsular nerve group (PENG) block demonstrated earlier unaided ambulation and delayed first rescue analgesia in hip arthroplasty compared to those who were administered Facia iliaca compartment blocks)FICB(in hip arthroplasty. Both blocks offered efficient postoperative pain control without difference in total opioid requirements.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100469"},"PeriodicalIF":0.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Employing lean six sigma strategies to improve operating room first case on-time starts: A case report
Perioperative Care and Operating Room Management Pub Date : 2025-01-16 DOI: 10.1016/j.pcorm.2025.100473
Christy V. Mitchell , Alex R. Anderson , Kenneth Romito , Wesley M. Abadie , Angela K. Phillips
{"title":"Employing lean six sigma strategies to improve operating room first case on-time starts: A case report","authors":"Christy V. Mitchell ,&nbsp;Alex R. Anderson ,&nbsp;Kenneth Romito ,&nbsp;Wesley M. Abadie ,&nbsp;Angela K. Phillips","doi":"10.1016/j.pcorm.2025.100473","DOIUrl":"10.1016/j.pcorm.2025.100473","url":null,"abstract":"<div><h3>Background</h3><div>The operating room is a key driver of hospital revenue, making the monitoring of performance metrics crucial for cost reduction. Perioperative leaders often struggle to pinpoint the causes of delays. This article describes how an ambulatory surgical center implemented Lean Six Sigma methodology to identify barriers and implement targeted interventions to improve first-case on-time starts.</div></div><div><h3>Methods</h3><div>A multidisciplinary committee employed the standard process improvement methodology known as define-measure-analyze-improve-control (DMAIC) to assess workflow, identify the root causes of delays, and implement five targeted interventions to improve workflow.</div></div><div><h3>Results</h3><div>Data from 888 cases were examined over a 20-month period in the perioperative department, 180 cases before and 708 cases during and after implementation. First case on-time starts increased from 30 % to 79 % 12 months after the interventions were implemented. Additionally, delays in OR minutes decreased by approximately 49 % during this time frame.</div></div><div><h3>Conclusion</h3><div>A multidisciplinary committee's use of Lean Six Sigma strategies, particularly the DMAIC framework, has effectively identified barriers to on-time first case starts in the OR. This approach established a solid foundation for developing targeted problem-solving interventions. By applying this methodology, the committee improved operational efficiency and reduced delays in the surgical workflow.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100473"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiac monitoring and cardiovascular event incidence in patients over 50 with ICU needs undergoing abdominal/vascular surgery: Insights from a tertiary care facility
Perioperative Care and Operating Room Management Pub Date : 2025-01-16 DOI: 10.1016/j.pcorm.2025.100472
Sendhil Kumar, Zareen Fatema, Vikneswaran G, Alben Sigamani, Delitia Manuel
{"title":"Cardiac monitoring and cardiovascular event incidence in patients over 50 with ICU needs undergoing abdominal/vascular surgery: Insights from a tertiary care facility","authors":"Sendhil Kumar,&nbsp;Zareen Fatema,&nbsp;Vikneswaran G,&nbsp;Alben Sigamani,&nbsp;Delitia Manuel","doi":"10.1016/j.pcorm.2025.100472","DOIUrl":"10.1016/j.pcorm.2025.100472","url":null,"abstract":"<div><h3>Background</h3><div>As the global population ages, the vulnerability of older adults (≥50 years) undergoing major non-cardiac surgeries increases significantly, posing greater risks and challenges. This study aims to address the gap in understanding postoperative cardiac complications and associated risk factors in this demographic.</div></div><div><h3>Methods</h3><div>A retrospective observational study was conducted to identify 100 patients aged 50 or older who underwent major abdominal or vascular surgeries requiring ICU admission for more than 24 h. MACE incidence, including myocardial infarction, unstable angina, heart failure, arrhythmias, stroke, and cardiac death, was assessed. Logistic regression analyzed preoperative risk factors.</div></div><div><h3>Results</h3><div>Postoperatively, 18 % experienced MACE events, including acute coronary syndrome, unstable angina, and cardiac death. Vascular surgeries correlated with increased mortality risk (<em>p</em> &lt; 0.001). Hypertension emerged as a significant risk factor (OR 10.88, <em>p</em> &lt; 0.02), alongside abnormal echocardiogram findings (<em>p</em> &lt; 0.05).</div></div><div><h3>Discussion</h3><div>The study highlights the significant association of advanced age, hypertension, and echocardiographic abnormalities with MACE in elderly patients undergoing major abdominal/vascular surgeries requiring ICU care. The findings emphasize the importance of perioperative risk stratification, particularly in high-risk groups, to guide surgical planning and improve outcomes. Developing predictive tools, such as MACE risk calculators, could support clinical decision-making.</div></div><div><h3>Conclusion</h3><div>Age, hypertension, and echocardiographic findings are key MACE predictors in elderly surgical patients requiring ICU care. Future studies should focus on validating risk calculators and optimizing perioperative strategies to improve patient outcomes.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100472"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Turkish validity and reliability study of the person-centered perioperative nursing scale
Perioperative Care and Operating Room Management Pub Date : 2025-01-14 DOI: 10.1016/j.pcorm.2025.100468
Tugba ALBAYRAM , Sukriye Ilkay GUNER
{"title":"Turkish validity and reliability study of the person-centered perioperative nursing scale","authors":"Tugba ALBAYRAM ,&nbsp;Sukriye Ilkay GUNER","doi":"10.1016/j.pcorm.2025.100468","DOIUrl":"10.1016/j.pcorm.2025.100468","url":null,"abstract":"<div><h3>Background</h3><div>Patient satisfaction and health status improve with person-centered care. It also reduces hospital stays and medical costs.</div></div><div><h3>Aim</h3><div>The purpose of this methodological study was to assess the validity and reliability of the \"Person-Centered Perioperative Nursing Scale\" in Turkey.</div></div><div><h3>Methods</h3><div>This online study was conducted between March and September 2021, and 185 nurses worked in the operating rooms of fourteen private hospitals, five state hospitals, and one university hospital in Gaziantep, Turkey. Scale validity analysis, language equivalence, content validity, exploratory and confirmatory factor analysis, reliability analysis, internal consistency, item-total correlations, and retest method were used. The STARD checklist organized the study setting.</div></div><div><h3>Results</h3><div>The scale's item-total correlation values were 0.519–0.804, and the Cronbach's alpha coefficient was 0.939. The scale has a five-factor structure, and according to the confirmatory factor analysis, the fit indices were χ2 (Cmin/df) 2.065; CFI 0.957; IFI: 0.958; Excellent agreement with TLI: 0.944; and RMR: 0.051, RMSEA 0.076; and it was found to be in acceptable agreement with NFI 0.921 and AGFI 0.836 (<em>p</em> = 0.000). The scale's discriminant validity was AVE: 0.59, CR: 0.88, and there were high congruent validity correlations.</div></div><div><h3>Conclusion</h3><div>The Person-Centered Preoperative Nursing Scale, which can be used to evaluate the quality of perioperative care, has enough validity and reliability indicators to be considered a measurement tool.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100468"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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