Measuring Quality of Recovery-15 After Day Case Surgery

Chazapis, Maria; Walker, Exum; Rooms, Martin; Kamming, Damon; Moonesinghe, Ramani

doi:10.1097/sa.0000000000000262

Cited by 34 publications

(61 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…QoR-15 scales, which have also been externally validated 32,33 and are shorter, were recommended by our Delphi process. Both the QoR score and QoR-15 scales provide patientcentred global assessments of patients' postoperative recovery.…”

Section: Discussionmentioning

confidence: 99%

Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: patient comfort

Myles

Boney

Botti

et al. 2018

British Journal of Anaesthesia

234

140

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: patient comfort

Myles

Boney

Botti

et al. 2018

British Journal of Anaesthesia

234

140

View full text Add to dashboard Cite

show abstract

“…Local research office designated the study as service evaluation, and it was therefore exempt from ethical approval requirement, consistent with a previous study performed at our institution. 3 At our institution, women are instructed to fast for 6 h before surgery and are encouraged to drink until 2 h before surgery. Our institutional analgesic regimen includes: intrathecal diamorphine 300 mg administered via either single-shot spinal or combined spinaleepidural, regular paracetamol 1 g, and ibuprofen 400 mg four times daily after operation, and, as required, oral morphine 20 mg 4 hourly on the day of surgery and dihydrocodeine 30 mg 6 hourly from Day 1 after CD for breakthrough pain.…”

Section: Methodsmentioning

confidence: 99%

“…Only 10% of women repeated the postoperative test at 25 h, which falls short of the 25% and 20% achieved by comparable evaluation studies. 2,3 All interviews and patient interactions were conducted at a single university hospital in the UK that serves a multicultural population. This study only developed and evaluated ObsQoR-11.…”

Section: Finalmentioning

confidence: 99%

See 1 more Smart Citation

Development and evaluation of an obstetric quality-of-recovery score (ObsQoR-11) after elective Caesarean delivery

Ciechanowicz

Setty

Robson

et al. 2019

British Journal of Anaesthesia

Self Cite

View full text Add to dashboard Cite

Background: Whilst validated quality-of-recovery (QoR) tools exist for general surgery, there is no specific obstetric equivalent. We aimed to develop and evaluate a modified QoR score after elective Caesarean delivery. Methods: Twenty-two obstetric specific items were selected following review and modification of the QoR-40 survey by 16 experts and interviews with 50 stakeholders. Item selection was based on relevance to Caesarean delivery and endorsement by >66% of stakeholders. Items were tested on women pre-delivery, at 24 h, and 25 h post-delivery. An 11item obstetric-specific QoR score (ObsQoR-11) was created based on correlation with a numerical rating scale (NRS) of global health status (r>0.20) at all time points. Reliability, responsiveness, acceptability, and feasibility were tested. Results: One hundred and fifty-two women responded to the 22-item questionnaire pre-delivery (complete in 146), 100 at 24 h, and 10 at 25 h. The ObsQoR-11 correlated with the global health status NRS (r¼0.53; 95% confidence interval: 0.43e0.62; P<0.0001) and discriminated good vs poor recovery (NRS score 70 vs <70 mm) at 24 h. There was a negative correlation between the ObsQoR-11 score at 24 h and hospital length of stay (r¼e0.39; P¼0.003). ObsQoR-11 was reliable (internal consistency: 0.85; split-half 0.76; testeretest intra-class correlation coefficient r i >0.6 in 82% of items) and responsive (Cohen effect size: 1.36; standardised response mean: 0.85). A longer 22-item ObsQoR had high (97%) completion rates and short (median: 2 min) completion times. Conclusions: The ObsQoR-11 provides a valid, reliable, and responsive global assessment of recovery after elective Caesarean delivery.

show abstract

“…Currently, the commonly used postoperative recovery quality scales were QoR-40 [25] and QoR-15 [26] . However, both of them are developed and veri ed in non-obstetric patients and day surgery population [27] , so there are many items unrelated to cesarean section, and lack of critical elements to evaluate postoperative recovery after delivery such as the ability of caring babies [18] . The ObsQoR-11 scale has been proved to be reliable, clinically acceptable, feasible and effective in patients undergoing elective and emergency cesarean section [18,28] .…”

Section: Discussionmentioning

confidence: 99%

The efficacy and safety of intrathecal dexmedetomidine for parturients undergoing cesarean section: a double-blind randomized controlled trial

et al. 2020

Preprint

View full text Add to dashboard Cite

Background : The efficacy and safety of spinal anesthesia by intrathecal dexmedetomidine (DEX) for parturients undergoing cesarean section are still lack of evidence. This aim of our study was to evaluate the efficacy and safety of intrathecal DEX for parturients undergoing cesarean section to provide more data evidence for intrathecal applications.Methods : Three hundred parturients undergoing cesarean section under spinal anesthesia were randomly assigned into three groups : group B: 9.0 mg (1.2 ml) of 0.75% bupivacaine with saline (1 ml); group FB: 9.0 mg (1.2 ml) of 0.75% bupivacaine with 20 μg of fentanyl (1 ml); group DB: 9.0 mg (1.2 ml) of 0.75% bupivacaine with 5 μg of DEX (1 ml). Intraoperative block characteristics, parturients’ postoperative quality of recovery, maternal and neonatal outcomes and the plasma concentration of DEX were measured. All parturients were followed up for 30 days to determine whether nerve injury occurred.Results : Compared with group B, the duration of sensory block in group FB and group DB were significantly prolonged (108.4 min [95% Confidence Interval (CI)=104.6-112.3] in group B, and 122.0 min [95% CI=116.8-127.3] in group FB, 148.2 min [95% CI=145.3-151.1] in group DB). The overall score of quality recovery in group DB (71.6 [95% CI=71.0-72.2]) was significantly higher than that in group FB (61.5 [95% CI=60.8-62.2]) and group B (61.7 [95% CI=61.0-62.4]). There was no statistically significant difference among the three groups for PH, PaO2, and PaCO2 of newborn. The plasma concentration of DEX in umbilical artery and umbilical vein was low and cannot be detected. The 30-days follow-up of parturients did not show any new onset of back, buttock or leg pain or paresthesia.Conclusions : DEX is a potential local anesthetic adjuvant that the intrathecal combination of 5 μg DEX can safely exhibit a facilitatory block effect and improve parturients' recovery quality.Trial registration : Chinese Clinical Trial Registry (Registration number # ChiCTR1900022019; Date of Registration on March 20th, 2019).

show abstract

Measuring Quality of Recovery-15 After Day Case Surgery

Cited by 34 publications

References 0 publications

Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: patient comfort

Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: patient comfort

Development and evaluation of an obstetric quality-of-recovery score (ObsQoR-11) after elective Caesarean delivery

The efficacy and safety of intrathecal dexmedetomidine for parturients undergoing cesarean section: a double-blind randomized controlled trial

Contact Info

Product

Resources

About