Validation of the Italian version of the White Fast-track Scoring Criteria: a prospective, observational study


  • Paola Casati Operating theatre, San Raffaele hospital, Milano, Italy
  • Claudia Maria Sansone Neonatal Intensive Care Unit, Policlinico San Matteo hospital, Pavia, Italy



Perioperative care, White Fast-Track, Surgical procedure, Nursing, Prevention


patients undergoing surgery are subject to adverse events, in the hours immediately after discharge from the operating theatre. The White Fast-Track scoring criteria scale is suitable for early detection of the risk of postoperative complications, but it has not been validated into Italian. Moreover, it should be completed with additional parameters, to allow complete postoperative surveillance.


this study is aimed to translate and validate into Italian the White fast-track scoring criteria and to produce a modified version, to obtain a more complete assessment of major surgery operations.

Quantitative, observational, prospective, monocentric study, on a non-randomized sample of patients aged 18 or more, undergoing general, thoracic, vascular, urological, orthopedic, gynecological, endocrinological, breast, nose-throat, or facial surgery, in the recovery room of a teaching hospital in Milan.

250 patients were enrolled. The original scale showed good inter-rater reliability, internal consistency, and test-retest reliability. The same applied to the modified version. The original scale allowed identifying 18 patients at risk; the modified version identified 20, who could have been discharged according to the original criteria, who actually developed postoperative complications.

The Italian White fast-track scoring criteria is a valid tool, and it can be used by nurses to perform appropriate postoperative surveillance, as well as to prevent early postoperative complications.

The modified version reflects the real surveillance performed in a recovery room, and shows satisfactory reliability, sensitivity, and specific if compared to the original tool.


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How to Cite

Casati, P., & Sansone, C. M. (2022). Validation of the Italian version of the White Fast-track Scoring Criteria: a prospective, observational study. Dissertation Nursing, 1(1), 28–37.