Comparison of Modified Aldrete Score Versus Speeds Criteria for Evaluating Postoperative Recovery in Patients Undergoing General Anaesthesia
Main Article Content
Abstract
Background: Postoperative recovery is crucial for patients under general anesthesia to ensure patient stability, optimize hospital resources, and improve surgical outcomes. The Modified Aldrete score, and SPEEDS criteria are widely used to assess postoperative recovery. The Modified Aldrete score evaluates activity, breathing, consciousness, circulation, and SpO2, with a total score of 10, and considers a score of ≥9 as optimal for recovery. SPEEDS criteria involve a "YES" or "NO" response for parameters like Saturation, Pain, Extremity movement, Emesis, Dialogue, and Stable vital signs. A "YES" for all parameters indicates readiness to progress to phase II recovery. This study aims to prevent postoperative complications and ensure safe patient discharge.
Objectives: This study aims to compare the efficacy and accuracy of the Modified Aldrete score and SPEEDS criteria in evaluating postoperative recovery in patients undergoing general anesthesia.
Results: The Modified Aldrete score showed a higher proportion of patients (52%) meeting recovery criteria compared to SPEEDS (42%). It also demonstrated higher sensitivity (91%), specificity (60%), and accuracy (78%) than SPEEDS.
Conclusion: The Modified Aldrete Score is a more reliable tool for assessing postoperative recovery, with improved sensitivity, specificity, and accuracy compared to SPEEDS criteria.