Quality of recovery after major emergency abdominal surgery: a prospective observational cohort study
Research output: Contribution to journal › Journal article › Research › peer-review
BACKGROUND: Major emergency abdominal surgery results in high morbidity and mortality. We aimed to describe patient-reported quality of recovery after major emergency abdominal surgery.
METHODS: A prospective observational cohort study of patients undergoing major emergency abdominal surgery at a University Hospital was conducted in the period between November 2016 and February 2017. Patients were interviewed using the 15-item questionnaire Quality of Recovery (QoR-15) six times over the first 30 postoperative days. Patients' maximum score of QoR-15 ranging from 0-150 were divided into four groups depending on recovery status going from poor (score of 0-89), moderate (score of 90-121), good (score of 122-135) to excellent (score of 136-150) recovery.
RESULTS: A total of 37 patients were included in the trial. At postoperative day (POD) 1 the recovery status of the patients was mainly poor to moderate (poor N.=8 [22%], moderate N.=23 [62%], good N.=4 [11%] and excellent N.=2 [5%]). Sixteen (55%) of the patients reported a poor or moderate recovery within the first 7 days after surgery, which advanced to good or excellent recovery (N.=19 [68%]) from POD 14. The patients were not fully recovered at POD 30 (N.=18 [62%] had an excellent recovery).
CONCLUSIONS: Recovery measured by QoR-15 is substantially affected after major emergency abdominal surgery even after 14- and 30 days postoperatively. The patients were poor or only moderately recovered within the first seven postoperative days and only 62% of the patients were fully recovered at postoperative day 30.
Original language | English |
---|---|
Journal | Minerva Chirurgica |
Volume | 75 |
Issue number | 2 |
Pages (from-to) | 104-110 |
Number of pages | 7 |
ISSN | 0026-4733 |
DOIs | |
Publication status | Published - Apr 2020 |
- Abdomen/surgery, Aged, Aged, 80 and over, Cohort Studies, Emergency Treatment, Female, Humans, Male, Middle Aged, Patient Reported Outcome Measures, Prospective Studies, Recovery of Function, Self Report, Time Factors
Research areas
ID: 283365634