The Modified Aldrete Score and White Fast-Track Score demonstrated comparable mean times to post-anaesthesia care unit discharge readiness (11.56 vs 12.54 minutes; p=0.183).
Observational (n=128)
Do the Modified Aldrete Score and White Fast-Track Score identify post-anaesthesia care unit discharge readiness earlier than conventional 60-minute time-based criteria in adults undergoing elective surgery under general anaesthesia?
Criteria-based scoring systems (MAS and WFTS) perform comparably and identify PACU discharge readiness significantly earlier than conventional time-based criteria, potentially improving resource utilization.
Absolute Event Rate: 11.56% vs 12.54%
p-value: p=0.183
Background: Safe and timely discharge from the post-anaesthesia care unit (PACU) is essential for optimal recovery and efficient resource utilization. This study compared the Modified Aldrete Score (MAS) and White Fast-Track Score (WFTS) in the assessment of PACU discharge readiness, using the conventional 60-minute time-based discharge criterion as a reference benchmark. Methods: In this prospective observational study, 128 adults aged 18-60 years with American Society of Anesthesiologists (ASA) physical status I-II who underwent elective surgery under general anaesthesia were evaluated. Recovery in all patients was assessed simultaneously using both the MAS and WFTS at predefined PACU intervals. The primary outcome was time to discharge readiness, defined as MAS ≥9 or WFTS ≥12 with no component score 0.05). Both scoring systems identified discharge readiness significantly earlier than the conventional 60-minute criterion (p < 0.001). Conclusions: MAS and WFTS demonstrated comparable performance in assessing PACU discharge readiness and identified discharge readiness significantly earlier than conventional time-based criteria, supporting a criteria-based approach to PACU discharge.
Mahajan et al. (Mon,) conducted a observational in elective surgery under general anaesthesia (n=128). Modified Aldrete Score (MAS) vs. White Fast-Track Score (WFTS) was evaluated on time to discharge readiness, defined as MAS ≥9 or WFTS ≥12 with no component score <1 (p=0.183). The Modified Aldrete Score and White Fast-Track Score demonstrated comparable mean times to post-anaesthesia care unit discharge readiness (11.56 vs 12.54 minutes; p=0.183).