Chung F, Chan V W, Ong D
Department of Anaesthesia, Toronto Western Division, Toronto Hospital, Canada.
J Clin Anesth. 1995 Sep;7(6):500-6. doi: 10.1016/0952-8180(95)00130-a.
To evaluate the validity and reliability of an objective scoring system, the Post-Anesthetic Discharge Scoring System (PADSS), which was compared against existing Clinical Discharge Criteria in the ambulatory surgery unit of our hospital.
randomized, open study.
Ambulatory surgery unit at a university teaching hospital.
247 ambulatory surgery patients undergoing general anesthesia.
One hour after the operation, the initial assessment using PADSS and the Clinical Discharge Criteria was made by an independent observer. Evaluations were repeated at 30-minute intervals until patients obtained a Post-Anesthetic Discharge Score of at least 9 and fulfilled the Clinical Discharge Criteria.
There was a close correlation between the end of anesthesia to time patients were fit for discharge using either PADSS or the Clinical Discharge Criteria (Pearson's Correlation Coefficient r = 0.89). The internal consistency reliability of PADSS (alpha = 0.65) was superior to that of the Clinical Discharge Criteria (alpha = 0.14).
We have found PADSS to have superior measurement scaling and diagnostic properties.
评估一种客观评分系统——麻醉后出院评分系统（PADSS）的有效性和可靠性，并将其与我院门诊手术科室现有的临床出院标准进行比较。
随机、开放性研究。
一所大学教学医院的门诊手术科室。
247例接受全身麻醉的门诊手术患者。
术后1小时，由一名独立观察者使用PADSS和临床出院标准进行初始评估。每隔30分钟重复评估一次，直至患者的麻醉后出院评分为至少9分且符合临床出院标准。
使用PADSS或临床出院标准时，从麻醉结束到患者适合出院的时间之间存在密切相关性（皮尔逊相关系数r = 0.89）。PADSS的内部一致性信度（α = 0.65）优于临床出院标准（α = 0.14）。
我们发现PADSS具有更好的测量尺度和诊断特性。
