scholarly journals Poor quality of recovery after neoplastic surgery according to quality of recovery 15 score

2017 ◽  
Author(s):  
Beatriz Carvalho
Keyword(s):  
Poor Quality ◽  
Quality Of Recovery

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
Keyword(s):  
Elective Surgery ◽  
Length Of Hospital Stay ◽  
Poor Quality ◽  
Portuguese Version ◽  
Quality Of Recovery ◽  
Institutional Ethics ◽  
Reliable Assessment ◽  
Locoregional Anesthesia ◽  
Good Internal Consistency

<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>

Poor quality of recovery and QoR-40 prior to surgery

2013 ◽  
Vol 30 ◽  
pp. 20-20
Author(s):  
L. Pereira ◽  
A. Moreto ◽  
F. Abelha
Keyword(s):  
Poor Quality ◽  
Quality Of Recovery

Poor quality of recovery and quality of life 3 months later

2013 ◽  
Vol 30 ◽  
pp. 236-237
Author(s):  
L. Pereira ◽  
A. Moreto ◽  
F. Abelha
Keyword(s):  
Quality Of Life ◽  
Poor Quality ◽  
Quality Of Recovery

Quality of Recovery from Anesthesia in Neurosurgical Patients

2003 ◽  
Vol 99 (5) ◽  
pp. 1158-1165 ◽  
Author(s):  
Kate Leslie ◽  
Sally Troedel ◽  
Kimberley Irwin ◽  
Frances Pearce ◽  
Antony Ugoni ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Spinal Surgery ◽  
Poor Quality ◽  
Quality Of Recovery ◽  
Cranial Surgery ◽  
Neurologic Deficits ◽  
Neurosurgical Patients ◽  
Duration Of Surgery ◽  
Recovery From Anesthesia

Background Factors influencing quality of recovery in cranial and spinal neurosurgical patients are not known, possibly because of lack of a suitable instrument. Therefore, the authors measured quality of recovery using the QoR-40 score (a 40-item questionnaire on quality of recovery from anesthesia). Methods With informed consent, 200 patients undergoing elective neurosurgery were recruited. The QoR-40 score, visual analog scores for pain and quality of recovery, and data on complications were collected over 90 days. The psychometrics of the QoR-40 were tested and regression models were developed to determine predictors of quality of recovery and postoperative pain. Results The QoR-40 score demonstrated significant responsiveness, validity, and reliability. In cranial surgery patients, QoR-40 scores were lower on days 1 and 2 than either preoperatively or on days 3, 30, and 90. In spinal surgery patients, QoR-40 scores were lower preoperatively and on days 1 and 2 than on days 3, 30, and 90. Longer duration of surgery, more complications, and higher visual analog scores for pain were predictors of poor quality of recovery on day 3. Cranial surgery patients had moderately severe pain on days 1 and 2, whereas spinal surgery patients reported moderate pain for the whole study period. Neurologic deficits were negatively correlated with QoR-40 scores in cranial and spinal surgery patients. Conclusions The QoR-40 score is a useful instrument with which to assess quality of recovery in cranial and spinal surgery patients. Postoperative pain and neurologic deficits correlate with poor quality of recovery in these patients.

Relation between Quality of Recovery in Hospital and Quality of Life at 3 Months after Cardiac Surgery

2001 ◽  
Vol 95 (4) ◽  
pp. 862-867 ◽  
Author(s):  
Paul S. Myles ◽  
Jennifer O. Hunt ◽  
Helen Fletcher ◽  
Robert Solly ◽  
David Woodward ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiac Surgery ◽  
Short Form ◽  
Poor Quality ◽  
Postoperative Recovery ◽  
Quality Of Recovery ◽  
Desirable Outcome ◽  
Sf 36 ◽  
Local Doctor

Background Improved quality of life (QoL) is a desirable outcome of cardiac surgery. The aim of the current study was to measure the association between quality of recovery 3 days after surgery and QoL measured 3 months later. Methods After obtaining ethics committee approval and consent, 120 adult cardiac surgical patients were studied. A 40-item quality of recovery score (QoR-40) was used to measure postoperative health status on days 1-3 and 1 month after surgery. QoL was measured using the short-form health survey (SF-36) at 1 and 3 months after surgery. The effect size (delta mean/SD) was used to define responsiveness, a clinically important difference in health. Associations were measured using correlation and reliability coefficients. Results There was a significant change in the mean QoR-40 for up to 1 month after surgery (P &lt; 0.0005). QoL was improved at 3 months (P &lt; 0.0005) but not 1 month (P = 0.29) after surgery. There was a moderate correlation between day-3 QoR-40 and 3-month SF-36 (r = 0.39; P &lt; 0.0005). A poor-quality recovery in hospital predicted a poor QoL at 3 months (adjusted odds ratio, 4.20; 95% confidence interval, 1.41-12.5; P = 0.01). Conclusions The QoR-40 is a valid measure of quality of recovery after surgery and anesthesia. When compared with the SF-36, it is a better measure of early postoperative recovery. A poor-quality recovery on the days after surgery can predict a poor QoL at 3 months after surgery. This may allow earlier and more effective support strategies while patients are still in the hospital (counseling, home assistance, local doctor notification, cardiac rehabilitation).

An experience of performing spirometry by trained general practitioners

2020 ◽  
pp. 34-36
Author(s):  
M. A. Pokhaznikova ◽  
E. A. Andreeva ◽  
O. Yu. Kuznetsova
Keyword(s):  
General Practitioners ◽  
Quality Criteria ◽  
Poor Quality ◽  
Male Gender ◽  
Study Research ◽  
The Poor ◽  
Quality Of Research ◽  
Forced Expiratory Maneuver ◽  
Maximal Effort

The article discusses the experience of teaching and conducting spirometry of general practitioners as part of the RESPECT study (RESearch on the PrEvalence and the diagnosis of COPD and its Tobacco-related aetiology). A total of 33 trained in spirometry general practitioners performed a study of 3119 patients. Quality criteria met 84.1% of spirometric studies. The analysis of the most common mistakes made by doctors during the forced expiratory maneuver is included. The most frequent errors were expiration exhalation of less than 6s (54%), non-maximal effort throughout the test and lack of reproducibility (11.3%). Independent predictors of poor spirogram quality were male gender, obstruction (FEV1 /FVC<0.7), and the center where the study was performed. The number of good-quality spirograms ranged from 96.1% (95% CI 83.2–110.4) to 59.8% (95% CI 49.6–71.4) depending on the center. Subsequently, an analysis of the reasons behind the poor quality of research in individual centers was conducted and the identified shortcomings were eliminated. The poor quality of the spirograms was associated either with the errors of the doctors who undertook the study or with the technical malfunctions of the spirometer.

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