Comparison of the Effect of SAMPE and ALDERTE Checklists on the Incidence of Complications After Discharge of Radical Prostatectomy Patients from the Post-anesthesia Care Unit (PACU)

TL;DR

This study compared two checklists, SAMPE and ALDERTE, to see which is better at reducing complications after prostatectomy patients leave the PACU, but found no major differences between them.

Contribution

The study provides a comparative analysis of two PACU discharge checklists, revealing their similar effectiveness in preventing post-discharge complications.

Findings

No significant differences in complication rates were observed among the groups.

Bleeding and vomiting were slightly more common in the SAMPE group.

Both checklists showed similar functionalities without one being universally superior.

Abstract

Among the available tools, the SAMPE and ALDERTE checklists have been specifically designed to facilitate timely patient discharge, minimize human error, and optimize resource utilization. Given the complexities associated with surgical care, a comparative analysis of these two checklists is essential to evaluate their efficacy in improving discharge outcomes and preventing complications.

This descriptive-analytical cross-sectional study assessed the distribution of complications following radical prostatectomy surgery by utilizing the SAMPE and ALDERTE checklists for discharge from the post-anesthesia care unit (PACU). A total of 156 participants, divided into three groups of 52 individuals each, were monitored for post-discharge complications 12 hours after their discharge from the PACU across three training centers. This methodology enabled a thorough evaluation of the roles of both checklists in mitigating adverse events during the critical post-operative period.

No significant differences in complication rates were observed among the groups; however, bleeding and vomiting were slightly more common in the SAMPE group.

This study concluded that neither the SAMPE nor the ALDERTE checklist provided a distinct advantage over the control group, which comprised patients routinely discharged from the same treatment center. Both checklists demonstrated similar functionalities, with each showing relative strengths in specific aspects; however, neither was found to be universally superior to the other.