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Rapid System Review Score-A Tool to Measure Predictive Interventions in Patients Admitted to the Postanesthesia Care

Srikiran Ramarapu, Robin Cook

    Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
    |August 27, 2019
    PubMed

    Insights

    The Rapid System Review (RSR) score effectively predicts postanesthesia care unit (PACU) interventions. Higher RSR scores correlate with an increased number of PACU interventions, demonstrating a proportional relationship.

    Area of Science:

    • Anesthesiology
    • Healthcare quality improvement

    Background:

    • Postanesthesia care unit (PACU) interventions are critical for patient safety.
    • Predictive tools are needed to anticipate the level of care required post-anesthesia.

    Purpose of the Study:

    • To evaluate the Rapid System Review (RSR) score's ability to predict the number of PACU interventions.
    • To test the hypothesis that increasing RSR scores correlate with more PACU interventions.

    Main Methods:

    • Observational clinical study design.
    • Tabulation of RSR scores into predefined ranges (0-3, 4-6, 7-9, 10-12, 13-15).
    • Correlation analysis between RSR scores and the number of PACU interventions.

    Main Results:

    • A strong positive correlation (Pearson correlation coefficient = 0.9) was found between RSR score and PACU interventions.
    • The correlation was statistically significant (P < 0.0001).

    Conclusions:

    • The RSR score is a reliable predictor of PACU interventions.
    • Changes in the RSR score are proportionally associated with changes in the number of required interventions.
    Abstract

    Keywords:
    PACURSR scoreinterventions

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