Reliability of the Aldrete Kroulik Index in the post-anesthetic recovery room ; Confiabilidade do Índice Aldrete Kroulik na sala de recuperação pós-anestésica

Objective: To analyze the reliability of the data recorded in the Aldrete and Kroulik Index (AKI) in the Post-Anesthetic Recovery Room (PARR). Materials and method: Cross-sectional and documentary study conducted in the Post-anesthetic Recovery Room of a university hospital in northeastern Brazil. Data were collected from perioperative nursing care records of 203 patients admitted to the PARR, who underwent elective surgeries from January to September 2019. The reliability analysis included the evaluation of: incompleteness and agreement of the AKI records, through an adapted score and Intraerclass Correlation Coefficient (ICC), respectively. Results: All variables in the study presented a "very low incompleteness" score (below 5%) in the AKI. The parameters "oxygen saturation", "muscle activity", "breathing" and "consciousness" showed excellent/satisfactory agreement classification. The variable circulation presented "unsatisfactory" classification and reveals a fragility of the care team to correctly calculate this parameter. Conclusions: The reliability of the records reveals satisfactory completeness of the AKI and excellent/satisfactory agreement in four of the five parameters evaluated in the post-anesthetic recovery room. However, the observed failures cause legal repercussions, compromise patient safety and interfere with the quality of postoperative care. ; Objetivo: Analisar a confiabilidade dos dados registrados do Índice de Aldrete e Kroulik (IAK) na Sala de Recuperação Pós-Anestésica (SRPA). Materiais e método: Estudo transversal e documentalrealizado na Sala de Recuperação Pós-Anestésica de um hospital universitário do nordeste brasileiro. Os dados foram coletados das fichas de assistência de enfermagem perioperatória de 203 pacientes admitidos na SRPA, submetidos a cirurgias eletivas,dejaneiro a setembro de 2019.Para análise da confiabilidade, foram avaliados:incompletude e concordânciados registros do IAK, através deescore adaptado e Coeficiente de Correlação Intraerclasse (ICC), respectivamente. ...