scholarly journals Quality of Recovery after Anesthesia: Validation of the Portuguese Version of the “Quality of Recovery 15” Questionnaire

2015 ◽  
Vol 28 (5) ◽  
pp. 567 ◽  
Author(s):  
Ana Carolina Sá ◽  
Gabriela Sousa ◽  
Alice Santos ◽  
Cristina Santos ◽  
Fernando José Abelha

<p><strong>Background: </strong>The “Quality of Recovery 15” questionnaire is used for the study of quality recovery after anesthesia. The aim of this study was to validate the Portuguese version of “Quality of Recovery 15” questionnaire.<br /><strong>Material and Methods:</strong> After study approval by the institutional ethics committee, an observational and cohort prospective study was conducted on patients scheduled for elective surgery from June to August 2013. The “Quality of Recovery 15” questionnaire was translated in accordance with available guidelines. The “Quality of Recovery 15” Portuguese version was used before surgery (T0) and 24h postoperatively (T1) on 170 patients. Patients who were unable to give informed consent or had cognitive impairment were excluded. Poor quality of recovery was defined for “Quality of Recovery 15” score at T1 lower than the mean “Quality of Recovery 15”<br />score minus 1 standard deviation. Reliability and observer disagreement was assessed using interclass correlation. Non-parametric tests were used for comparisons.<br /><strong>Results:</strong> There was a negative correlation between “Quality of Recovery 15” score and time spent in the postanesthesia care<br />(ρ = −0.264, p = 0.004) and length of hospital stay (ρ = −0.274, p = 0.004). Thirty-two patients (19%) had poor quality of recovery. Patients with poor quality of recovery had more frequently diabetes mellitus and hypertension and they were taking antidepressants drugs more frequently. Patients with poor quality of recovery were more frequently submitted to combined anesthesia and less frequently to general anesthesia and locoregional anesthesia (p = 0.008). The questionnaire had a good internal consistency and test–retest reliability was good.<br /><strong>Discussion:</strong> The Portuguese version of the “Quality of Recovery 15” showed a good correlation with the original.<br /><strong>Conclusion:</strong> This questionnaire appears to be an accurate and reliable assessment for quality of recovery.</p>

2018 ◽  
Vol 31 (10) ◽  
pp. 551
Author(s):  
André Biscaia ◽  
Pedro Amorim ◽  
Simão Esteves ◽  
Filipa Lagarto ◽  
Blandina Gomes ◽  
...  

Introduction: The Postoperative Quality Recovery Scale is a brief instrument of six domains designed to assess quality of recovery from early to long term after surgery. This study aims to validate the Portuguese version of the Postoperative Quality Recovery Scale.Material and Methods: In this observational study 101 adult patients undergoing elective surgery completed the Postoperative Quality Recovery Scale at 15 minutes and 40 minutes, one and three days after surgery. Three constructs were assessed for validity: increased recovery over time; effect of gender and recovery association with muscle strength. Reliability, responsiveness, feasibility and acceptability were also assessed.Results: Construct validity was shown by increased recovery over time; worse recovery for female patients in emotive, nociceptive, activities of daily living and overall recovery; improved muscle strength in recovered patients. Internal consistency for activities of daily living was acceptable at all-time points (Cronbach’s α value of 0.772 or higher), indicating scale reliability. The scale was able to detect differences in postoperative quality of recovery between the neuromuscular blockade reversal agents, neostigmine and sugammadex, indicating scale responsiveness. The time to conduct the Portuguese version at baseline was 95 - 581 seconds (median 319 seconds) and it was reduced with subsequent assessments. The proportion of patients completing all scale items was 87%, 75%, 65% and 94% for the four time periods evaluated, indicating scale feasibility and acceptability.Discussion: This study shows that the Portuguese version of the Postoperative Quality Recovery Scale, demonstrates construct validity, reliability, responsiveness, feasibility and acceptability.Conclusions: This study allowed validation of the Portuguese version of the Postoperative Quality Recovery Scale.


2022 ◽  
Vol 78 ◽  
pp. 110638
Author(s):  
Maëva Campfort ◽  
Cléor Cayla ◽  
Sigismond Lasocki ◽  
Emmanuel Rineau ◽  
Maxime Léger

2021 ◽  
Vol 4 (7) ◽  
pp. 149
Author(s):  
Pooja Thacker ◽  
Subhadra Mandalika ◽  
Rahul Shah ◽  
Nilesh Doctor

Background: Malnutrition prior to surgery can lead to inflammation, increased length of hospital stay, bed sores, muscle weakness, poor quality of life and mortality post-surgery in patients. Therefore, preoperative drinks that have been enriched with vitamins, easily digestible carbohydrates and amino acids have been necessitated by ESPEN. Health benefits of brown rice, which is a good source of phytonutrients like GABA, Ferulic acid Oryzanol and B- complex, BCAA and maltodextrin, have been well researched.Methods: In the present study, a nutritious product was developed using germinated brown rice, salt and micronutrient mix (GBR Mix), analysed quantitatively (Proximate composition) and qualitatively (Phytochemicals). Major orthopaedic and gastrointestinal surgical patients in the age group of 40-65 years (n=124) were supplemented with GBR Mix in bouts of 3 meals (20gms x 3meals) namely lunch, mid-evening and bedtime time snack, 8 hrs prior to surgery unlike other patients who fasted for 12-16 hours prior to surgery. They were assessed for nutritional status, Serum Albumin, inflammatory markers (CRP and WBC), post-surgery complications and length of hospital stay.Results: Supplementation was found to improve blood sugar (p<0.05) in gastroenterology patients, reduce inflammatory markers like CRP(p=0.053) and WBC (p<0.001), reduced nausea and vomiting, improved food and fluid intake post-surgery in the patients. Additionally, length of hospital stay was also reduced (p=0.001).Conclusion: Thus, germinated brown rice could be recommended as an economical nutritious and anti-inflammatory pre surgery feed.Keywords: GBR, LOS, MUST, SGA, CRP, Micronutrient Mix 


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