scholarly journals Prevalence and Predictors of Quality of Recovery at Home After Day Surgery

Medicine ◽  
2015 ◽  
Vol 94 (39) ◽  
pp. e1553 ◽  
Author(s):  
Björn Stessel ◽  
Audrey A. Fiddelers ◽  
Elbert A. Joosten ◽  
Daisy M.N. Hoofwijk ◽  
Hans-Fritz Gramke ◽  
...  
Keyword(s):  
Day Surgery ◽  
Quality Of Recovery ◽  
At Home

scholarly journals One-month recovery profile and prevalence and predictors of quality of recovery after painful day case surgery: Secondary analysis of a randomized controlled trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245774
Author(s):  
Björn Stessel ◽  
Maarten Hendrickx ◽  
Caroline Pelckmans ◽  
Gerrit De Wachter ◽  
Bart Appeltans ◽  
...  
Keyword(s):  
Pain Treatment ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Day Surgery ◽  
Treatment Groups ◽  
Quality Of Recovery ◽  
Recovery Profile ◽  
Type Of Surgery

Background/Objectives This study aimed to study one-month recovery profile and to identify predictors of Quality of Recovery (QOR) after painful day surgery and investigate the influence of pain therapy on QOR. Methods/Design This is a secondary analysis of a single-centre, randomised controlled trial of 200 patients undergoing ambulatory haemorrhoid surgery, arthroscopic shoulder or knee surgery, or inguinal hernia repair between January 2016 and March 2017. Primary endpoints were one-month recovery profile and prevalence of poor/good QOR measured by the Functional Recovery Index (FRI), the Global Surgical Recovery index and the EuroQol questionnaire at postoperative day (POD) 1 to 4, 7, 14 and 28. Multiple logistic regression analysis was performed to determine predictors of QOR at POD 7, 14, and 28. Differences in QOR between pain treatment groups were analysed using the Mann-Whitney U test. Results Four weeks after haemorrhoid surgery, inguinal hernia repair, arthroscopic knee and arthroscopic shoulder surgery, good QOR was present in 71%, 76%, 57% and 24% respectively. Poor QOR was present in 5%, 0%, 7% and 29%, respectively. At POD 7 and POD 28, predictors for poor/intermediate QOR were type of surgery and a high postoperative pain level at POD 4. Male gender was another predictor at POD 7. Female gender and having a paid job were also predictors at POD 28. Type of surgery and long term fear of surgery were predictors at POD 14. No significant differences in total FRI scores were found between the two different pain treatment groups. Conclusions The present study shows a procedure-specific variation in recovery profile in the 4-week period after painful day surgery. The best predictors for short-term (POD 7) and long-term (POD 28) poor/intermediate QOR were a high postoperative pain level at POD 4 and type of surgery. Different pain treatment regimens did not result in differences in recovery profile. Trial registration European Union Clinical Trials Register 2015-003987-35.

scholarly journals Home to Stay: An Integrated Monitoring System Using a Mobile App to Support Patients at Home Following Colorectal Surgery

2020 ◽  
Vol 7 (6) ◽  
pp. 1241-1246
Author(s):  
Christine J S Keng ◽  
Alifiya Goriawala ◽  
Saira Rashid ◽  
Rachel Goldstein ◽  
Selina Schmocker ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Monitoring System ◽  
Readmission Rate ◽  
Mobile App ◽  
Initial Assessment ◽  
Quality Of Recovery ◽  
Discharge Monitoring ◽  
Discharge From Hospital ◽  
At Home

Background: Patients undergoing colorectal surgery are vulnerable during their transition from hospital to home and require increased support following discharge from hospital. Study objectives were to perform an initial assessment of patient uptake, outcomes, and satisfaction with an integrated discharge monitoring system called Home to Stay. Methods: The intervention was an integrated discharge monitoring system that uses a mobile app platform. Patients downloaded the app prior to discharge from hospital and received a Daily Health Check day #1 to #14, #21, and #30. Patient responses’ were accessed by the health-care team via secure web site, and extreme responses were “flagged” to indicate that a follow-up telephone call was necessary. Primary outcomes were patient uptake, Quality of Recovery scores and satisfaction with the program. Secondary outcomes were 30-day emergency room (ER) visits and readmissions. Results: One hundred and thirty-two patients were invited to participate and 106 accepted. Of these, 93 used the app at least once. The mean overall score on the Quality of Recovery Scale increased significantly from day 1 to day 14. Patient satisfaction with the app was high, with 92% of patients reporting overall satisfaction as good or excellent. The 30-day readmission rate was 6% and was lower than the 30-day readmission rate of 18% reported for the 4 months prior to the start of the study. Conclusions: The Home to Stay Program to support patients at home after colorectal surgery is feasible with high patient uptake and satisfaction. This program has the potential to reduce 30-day readmissions, however further studies are required.

scholarly journals Swedish Web Version of the Quality of Recovery Scale Adapted for Patients Undergoing Local Anesthesia and Peripheral Nerve Blockade (SwQoR-LA): Prospective Psychometric Evaluation Study (Preprint)

2020 ◽  
Author(s):  
Ulrica Nilsson ◽  
Karuna Dahlberg ◽  
Maria Jaensson
Keyword(s):  
Peripheral Nerve ◽  
Real Time ◽  
Nerve Block ◽  
Peripheral Nerve Block ◽  
Psychometric Evaluation ◽  
Day Surgery ◽  
Mobile App ◽  
Quality Of Recovery ◽  
Recovery Assessment

BACKGROUND The frequency and timing of assessing patient symptoms and discomfort during postoperative recovery are goals. Therefore, real-time recovery evaluation has been suggested to identify specific deficits in patient recovery. OBJECTIVE This study aimed to psychometrically evaluate the Swedish Web Version of the Quality of Recovery (SwQoR) Scale adapted for patients undergoing local and peripheral nerve block (SwQoR-LA). METHODS This was a secondary analysis of a psychometric evaluation of 107 patients aged ≥18 years undergoing day surgery under local or peripheral nerve block anesthesia at 4 different day surgery departments in Sweden. The SwQoR-LA, available through a mobile app called Recovery Assessment by Phone Points (RAPP), was completed daily on postoperative days 1-7. RESULTS Some evidence of construct validity was supported, and discriminant validity was found in 7 of 8 items related to general anesthesia. The internal consistency was acceptable (.87-.89), and the split-half reliability was 0.80-0.86. Cohen d effect size was 0.98, and the percentage of change from baseline was 43.4%. No floor nor ceiling effects were found. CONCLUSIONS The SwQoR-LA is valid, reliable, responsive, and clinically feasible for digital real-time recovery assessment of patient recovery to identify specific deficits in patient recovery and detect those patients who might benefit from a timely intervention. CLINICALTRIAL ClinicalTrials.gov NCT02492191; https://clinicaltrials.gov/ct2/show/NCT02492191 INTERNATIONAL REGISTERED REPORT RR2-10.1136/bmjopen-2015-009901

scholarly journals The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study (Preprint)

2017 ◽  
Author(s):  
Ulrica Nilsson ◽  
Karuna Dahlberg ◽  
Maria Jaensson
Keyword(s):  
Convergent Validity ◽  
Psychometric Evaluation ◽  
Evaluation Study ◽  
Day Surgery ◽  
Postoperative Recovery ◽  
Mobile App ◽  
Swedish Version ◽  
Quality Of Recovery ◽  
Item Quality

BACKGROUND The 40-item Quality of Recovery (QoR-40) questionnaire is well validated for measuring self-assessed postoperative recovery. The Swedish version of the 40-item Quality of Recovery (QoR-40) has been developed into a Web-based questionnaire, the Swedish Web version of the Quality of Recovery (SwQoR) questionnaire, adapted for use in a mobile app, Recovery Assessment by Phone Points, or RAPP. OBJECTIVE The aim of this study was to test the validity, reliability, responsiveness, and clinical acceptability and feasibility of SwQoR. METHODS We conducted a prospective psychometric evaluation study including 494 patients aged ≥18 years undergoing day surgery at 4 different day-surgery departments in Sweden. SwQoR was completed daily on postoperative days 1 to 14. RESULTS All a priori hypotheses were confirmed, supporting convergent validity. There was excellent internal consistency (Cronbach alpha range .91-.93), split-half reliability (coefficient range .87-.93), and stability (ri=.99, 95% CI .96-.99; P<.001). Cohen d effect size was 1.00, with a standardized response mean of 1.2 and a percentage change from baseline of 59.1%. An exploratory factor analysis found 5 components explaining 57.8% of the total variance. We noted a floor effect only on postoperative day 14; we found no ceiling effect. CONCLUSIONS SwQoR is valid, has excellent reliability and high responsiveness, and is clinically feasible for the systematic follow-up of patients’ postoperative recovery.

scholarly journals Using a Mobile App for Monitoring Post-Operative Quality of Recovery of Patients at Home: A Feasibility Study

2015 ◽  
Vol 3 (1) ◽  
pp. e18 ◽  
Author(s):  
John L Semple ◽  
Sarah Sharpe ◽  
M Lucas Murnaghan ◽  
John Theodoropoulos ◽  
Kelly A Metcalfe
Keyword(s):  
Feasibility Study ◽  
Mobile App ◽  
Quality Of Recovery ◽  
Operative Quality ◽  
At Home

Assessment of recovery after day surgery using a modified version of quality of recovery-40

2009 ◽  
Vol 53 (5) ◽  
pp. 673-677 ◽  
Author(s):  
E. IDVALL ◽  
K. BERG ◽  
M. UNOSSON ◽  
L. BRUDIN ◽  
U. NILSSON
Keyword(s):  
Day Surgery ◽  
Quality Of Recovery

Recovery After Same-Day Surgery in Patients Receiving General Anesthesia: A Cohort Study Using the Quality of Recovery-40 Questionnaire

2016 ◽  
Vol 31 (6) ◽  
pp. 475-484 ◽  
Author(s):  
Herdis Sveinsdottir ◽  
Thordis Borgthorsdottir ◽  
Maria Titia Asgeirsdottir ◽  
Kolbrun Albertsdottir ◽  
Lara Borg Asmundsdottir
Keyword(s):  
Cohort Study ◽  
General Anesthesia ◽  
Day Surgery ◽  
Quality Of Recovery

scholarly journals Brace versus cast following surgical treatment of distal radial fracture: a prospective randomised study comparing quality of recovery

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 336
Author(s):  
Irén Sellbrant ◽  
Johanna Blomstrand ◽  
Jon Karlsson ◽  
Bengt Nellgård ◽  
Jan Jakobsson
Keyword(s):  
Surgical Treatment ◽  
Recovery Of Function ◽  
Day Surgery ◽  
Distal Radial Fracture ◽  
Distal Radial Fractures ◽  
Randomised Study ◽  
Quality Of Recovery ◽  
Post Surgery ◽  
Supraclavicular Block

Background: Immobilisation following surgical treatment of distal radial fractures (DRF) is traditionally performed with a dorsal cast splint. There is an interest in changing the rigid cast to a removable brace. This can reduce the risk for cast-corrections, complications and improve recovery of function. The aim of the study was to compare quality of recovery (QoR) between brace and traditional cast for immobilisation during the first postoperative week. Methods: 60 patients with American Society of Anesthesiologists (ASA) physical status 1–3, scheduled for surgical treatment of DRF under a supraclavicular block (SCB) in a day-surgery setting were randomised into two groups of immobilisation post-surgery; brace (n=30) versus traditional cast (n=30). Study objectives were: differences in self-assessed QoR using the QoR-15 questionnaire, postoperative oral oxycodone consumption, perioperative time events and unplanned healthcare contacts one week postoperatively. Results: 54 patients, 46 females/eight males were included in the analysis; 27 with brace and 27 with traditional cast. QoR-15 sum median scores improved significantly from baseline/preoperative to day 7 (brace p=0.001, cast p=0.001) with no differences between the two groups. The only difference found was that patients in the brace group had significantly worse pain score 24-hours post-surgery (p=0.022). No significant differences were seen in sum median oxycodone consumption the first three postoperative days. No differences were found in perioperative events or unplanned healthcare contacts. Conclusions: Brace appears to be a feasible option to traditional cast for immobilisation following surgical treatment of DRF. The early QoR was similar in both groups apart from more pain in the brace group the first 24 postoperative hours.

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