Development and Validation of the Surgical Recovery Scale (SRS)

Paddison, Johanna S.; Sammour, Tarik; Kahokehr, Arman; Zargar‐Shoshtari, Kamran; Hill, Andrew G.

doi:10.1016/j.jss.2010.12.043

Cited by 50 publications

(53 citation statements)

References 10 publications

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“…34 Traditional recovery assessment tools were institutional and focused on the provider, limiting assessment to addressing restitution of physiological parameters in the immediate postoperative period. 35 Historically, factors with a direct impact on discharge readiness and institutional cost were assessednausea and vomiting, severe pain, 36-39 psychological distress, 37,38,[40][41][42] and basic physiological function. [43][44][45] With the advent of patient-centred care, recovery has developed into a multidimensional construct, with recovery assessment tools addressing physical (nociceptive), [36][37][38][39] psychological (emotive, satisfaction), 37,38,[40][41][42] functional (ADLs), [36][37][38][39][40][41][42]46 and more recently, cognitive domains.…”

Section: Measurement Of Recoverymentioning

confidence: 99%

“…The latter has become more pertinent in the advent of an aging population and increasing awareness of the interplay between the perioperative inflammatory state, anesthetic agents, and neurodegenerative processes. [47][48][49][50][51] Assessment of cognitive recovery has thus progressed from simple assessments of orientation and comprehension 38,41,46 to more formal neuropsychological-based assessment. 26,37,52,53 More recent clinical recovery assessment tools, such as the Postoperative Quality of Recovery Scale (PostopQRS), 37 assess cognitive recovery by applying formal neuropsychological tests in truncated form and assessing patient recovery in relation to individual baseline function both in real time and over multiple time points.…”

Section: Measurement Of Recoverymentioning

confidence: 99%

“…22 Enhanced Recovery After Surgery (ERAS) pathways now extend recovery to include three phases (up to discharge from the postanesthesia care unit, hospital discharge, and restitution of normal function), but they are still primarily focused on performance indicators in the immediate postoperative period. In comparison, the development of recovery assessment tools that address early (over days), 38,46 intermediate (over weeks), 39,41 and late (over months) 37,54 recovery allow for a broader and contextual assessment of persistent adverse symptoms, functional impairment, and cognitive decline beyond the traditional postoperative period.…”

Section: Measurement Of Recoverymentioning

confidence: 99%

“…10,12,22 Thus, an important advantage of a recovery assessment tool is its ability to aid in the assessment of recovery at multiple clinically relevant time points. By using validated repeat measures, 36,37,41 it can model the trajectory of recovery over time, from discharge (early recovery), to resumption of basic social activities (intermediate recovery), to resolution of full cognitive function (late recovery).…”

Section: Measurement Of Recoverymentioning

confidence: 99%

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The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications

Bowyer

Royse

2015

Can J Anesth/J Can Anesth

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Quality of recovery is a complex construct whose definition is influenced heavily by the opinions and biases of the individual patient, clinician, or institution. As a result, recovery assessment tools differ in their fundamental definitions of recovery, breadth, and assessment time frame. Accurate assessment of recovery is essential as suboptimal recovery has both economic and prognostic implications. Quality of care is often substituted as a surrogate at the institutional level for quality of recovery, but it is ideologically distinct from patients' perceived quality of care, recovery, and satisfaction. Recovery tools also differ in their assessment of recovery as a continuous vs dichotomous variable and in their focus at the group vs individual level. Ideally, recovery measures should assess outcomes in a simple dichotomous fashion and maintain relevancy by assessing in multiple domains at various time points. Assessment of recovery in a dichotomous fashion also has both clinical and research applications. It allows identification of suboptimal recovery at both individual and group levels, respectively, and when performed in real time, it allows the opportunity for timely targeted intervention specific to individual patients as well as for resource rationalization.Résumé La qualité de récupération est un construit complexe dont la définition est fortement influencée par les opinions et les biais du patient, du clinicien, voire de l'établissement. Dès lors, les outils d'évaluation de la récupération diffèrent de par la définition-même de la récupération, leur envergure, et le cadre temporel de l'évaluation. Une évaluation précise de la récupération est essentielle; en effet, une récupération sous-optimale a des implications tant économiques que pronostiques. Au niveau institutionnel, on utilise souvent la qualité des soins comme substitut de la qualité de récupération mais, d'un point de vue idéologique, ce concept se distingue de la qualité des soins, de la récupération et de la satisfaction telles que perçues par les patients. Les outils de récupération diffèrent également dans leur évaluation de la récupération en tant que variable continue ou dichotomique et dans leur emphase sur le groupe ou l'individu. Dans l'idéal, les mesures de la récupération devraient évaluer les pronostics de manière dichotomique simple et maintenir leur pertinence en évaluant plusieurs domaines à différents moments dans le temps. L'évaluation dichotomique de la récupération a également des applications cliniques et en recherche. Elle permet d'identifier une récupération sous-optimale tant au niveau du groupe que de l'individu. D'autre part, lorsque ce type d'évaluation est réalisé en temps réel, elle nous donne la possibilité d'intervenir d'une manière ciblée et opportune spécifique à chaque patient tout en rationnalisant les ressources.Author contributions Andrea Bowyer and Colin Royse contributed substantially to the conception and design of the manuscript and drafted the version to be published.

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Section: Measurement Of Recoverymentioning

confidence: 99%

Section: Measurement Of Recoverymentioning

confidence: 99%

Section: Measurement Of Recoverymentioning

confidence: 99%

Section: Measurement Of Recoverymentioning

confidence: 99%

See 2 more Smart Citations

The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications

Bowyer

Royse

2015

Can J Anesth/J Can Anesth

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“…Entretanto, a recuperação cirúrgica pode ser prejudicada quando há falhas de recuperação de domínios específicos, causando alteração no processo de recuperação cirúrgica FELDMAN et al, 2009;PADDISON et al, 2011;MAYO et al, 2011 Seguindo tal princípio filosófico, na análise da literatura detectou-se um total de 14 diferentes descritores empregados para representar ou expressar domínios do conceito recuperação cirúrgica retardada nas disciplinas da saúde (medicina, enfermagem, psicologia, odontologia, fisioterapia e fonoaudiologia).…”

Section: Formas De Mensuração Ou Referências Da Recuperação Cirúrgicaunclassified

Recuperação cirúrgica retardada: análise do conceito

Romanzini¹

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meu suporte e referência de ser humano, quem me ensinou os valores da vida, a ler e escrever as primeiras frases, sempre acreditou no meu potencial e me apoiou de forma incondicional. Deixo registrados minha gratidão e amor, sabendo que jamais conseguirei retribuir a altura.Ao meu p Ao meu p Ao meu p Ao meu pai Julio Romanzini Filho, ai Julio Romanzini Filho, ai Julio Romanzini Filho, ai Julio Romanzini Filho, por todos os valores transmitidos no decorrer de nossa convivência, companheiro que me ampara e conforta com seu amor -saudades. Aos meus irmãos Aos meus irmãos Aos meus irmãosAos meus irmãos Adriana, Alexandre e Anderson, Adriana, Alexandre e Anderson, Adriana, Alexandre e Anderson, Adriana, Alexandre e Anderson, pelo carinho, apoio e compreensão por minha ausência. À À À À Ana Paula, Ana Paula, Ana Paula, Ana Paula, pela compreensão, dedicação, companheirismo e incentivos para realização de meus objetivos.A todos da minha família, A todos da minha família, A todos da minha família, A todos da minha família, pelo suporte e compreensão nos períodos de ausência. AGRADECIMENTO AGRADECIMENTO AGRADECIMENTO AGRADECIMENTOAgradeço todas as dificuldades que enfrentei, bem como as críticas, que me instigaram a refletir e buscar a energia interior necessária para mudar as expectativas de minha trajetória.Especialmente a Dra. Cristina Maria Galvão, Dra. Cristina Maria Galvão, Dra. Cristina Maria Galvão, Dra. Cristina Maria Galvão, por me acolher, confiar no meu potencial e não ter poupado esforços em enfrentar os desafios e de transmitir sua sabedoria, me proporcionando ensinamentos essenciais para a minha formação acadêmica, profissional e pessoal, que certamente me acompanhará, e serão cultivados, com o anseio da excelência e avanço da ciência de enfermagem.A Dra. The safety of surgical care has emerged as a global public health problem. The surgical recovery process is dynamic and lengthy and can be influenced by different factors, which affect the patients' recovery in the negative or positive sense. Adverse postoperative events affect between 78 and 86% of patients, with surgical wound alterations as one of the main complications. The general objective in this study was to analyze the concept delayed surgical recovery. Therefore, Rodgers' concept analysis model was elected to support the research development and the integrative review to accomplish the second activity in the model adopted. In the course of the integrative review, the search for primary studies mainly covered the databases PubMed, CINAHL, EMBASE and LILACS, using controlled and non-controlled descriptors, selected according to the particularity of each database. In the adopted search strategy, the controlled and non-controlled descriptors were combined in different manners to guarantee a broad search. Hence, out of 1,155 potentially eligible primary studies, 103 were secondary studies, 836 did not comply with the established selection criteria and150 were repeated references. Thus, the integrative review sample consisted of 66 primary studies. Da...

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Randomized clinical trial of enhanced recovery versus standard care after laparoscopic sleeve gastrectomy

Lemanu¹,

Singh²,

Berridge

et al. 2013

British Journal of Surgery

207

145

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Background: Optimized perioperative care within an enhanced recovery after surgery (ERAS) protocol is designed to reduce morbidity after surgery, resulting in a shorter hospital stay. The present study evaluated this approach in the context of sleeve gastrectomy for patients with morbid obesity.Methods: Patients were allocated to perioperative care according to a bariatric ERAS protocol or a control group that received standard care. These groups were also compared with a historical group of patients who underwent laparoscopic sleeve gastrectomy at the same institution between 2006 and 2010, selected using matched propensity scores. The primary outcome was median length of hospital stay. Secondary outcomes included readmission rates, postoperative morbidity, postoperative fatigue and mean cost per patient.Results: Of 116 patients included in the analysis, 78 were allocated to the ERAS (40) or control (38) group and there were 38 in the historical group. There were no differences in baseline characteristics between groups. Median hospital stay was significantly shorter in the ERAS group (1 day) than in the control (2 days; P < 0·001) and historical (3 days; P < 0·001) groups. It was also shorter in the control group than in the historical group (P = 0·010). There was no difference in readmission rates, postoperative complications or postoperative fatigue. The mean cost per patient was significantly higher in the historical group than in the ERAS (P = 0·010) and control (P = 0·018) groups. Conclusion:The ERAS protocol in the setting of bariatric surgery shortened hospital stay and was cost-effective. There was no increase in perioperative morbidity. Registration number: NCT01303809 (http://www.clinicaltrials.gov).

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Development and Validation of the Surgical Recovery Scale (SRS)

Cited by 50 publications

References 10 publications

The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications

The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications

Recuperação cirúrgica retardada: análise do conceito

Randomized clinical trial of enhanced recovery versus standard care after laparoscopic sleeve gastrectomy

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