Use of quality of recovery score (QoR40) in the assessment of postoperative recovery and evaluation of enhanced recovery after surgery protocols

Tanaka, Yuu; Yoshimura, Atushi; Tagawa, Kyoko; Shida, Dai; Kawaguchi, Masahiko

doi:10.1007/s00540-013-1781-7

Cited by 10 publications

(5 citation statements)

References 13 publications

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“…Therefore, in order to accomplish health and longevity in society, perioperative management is an important issue that needs to be resolved. A number of approaches to provide better postoperative recovery and outcome, including preoperative, intraoperative and postoperative strategies, have been applied by multidisciplinary teams [1][2][3][4]. A recent model called 'Perioperative Surgical Home' (PSH) has been established which enables surgical patients to be consulted from the time when the surgeon decides to operate and provides preoperative intervention during the waiting time for surgery.…”

Section: Introductionmentioning

confidence: 99%

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

2017

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Section: Introductionmentioning

confidence: 99%

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

2017

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“…As an effective objective measurement of recovery quality after anaesthesia and surgery, the QoR-40 is the only evaluation tool meeting the eight quality-of-recovery criteria of appropriateness, reliability, validity, responsiveness, precision, interpretability, acceptability, and precision [ 14 , 15 ] and is the best instrument to evaluate the complicated and multidimensional processes of postoperative recovery among general surgery patients. Compared with group C, group S had significantly higher global QoR-40 scores.…”

Section: Discussionmentioning

confidence: 99%

A comparison of neuromuscular blockade and reversal using cisatricurium and neostigmine with rocuronium and sugamadex on the quality of recovery from general anaesthesia for percutaneous closure of left atria appendage

Yao

et al. 2022

J Cardiothorac Surg

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Background There is a growing interest in minimally invasive left atrial appendage closure therapies. However, for successful catheter surgery, it is necessary to achieve high-quality postoperative recovery. The aim of the study is to comparison of neuromuscular blockade and reversal using cisatricurium and neostigmine with rocuronium and sugamadex on the quality of recovery from general anaesthesia for percutaneous closure of left atria appendage. Methods Eighty-four patients who received percutaneous LAAC were randomly placed into two groups, general anesthesia and endotracheal intubation with either propofol-remifentanil-cisatracurium-neostigmine (group C) or propofol-remifentanil-rocuronium-sugammadex (group S). The QoR-40 questionnaire was used to assess recovery quality 6 h after surgery, and the time of spontaneous respiration, the time of consciousness recovery, the time of extubation, the duration in the postanaesthesia care unit (PACU), and the adverse events after awakening were collected. Results Compared with the group C, the group S demonstrated significantly higher individual QoR-40 dimension scores, a significantly shorter recovery time for spontaneous respiration and consciousness, time of extubation, and duration in the PACU, and a lower incidence of transient hypoxemia, agitation, nausea and vomiting and urinary retention. There was a non-significant trend for the length of stay in the hospital in both groups. Conclusions General anesthesia and endotracheal intubation with propofol-remifentanil-rocuronium-sugammadex provided better quality of recovery, shorter anaesthesia duration, and lower incidence of hypoxemia and agitation. Neuromuscular blockade and reversal using rocuronium and sugamadex is better than with cisatricurium and neostigmine on the quality of recovery from general anaesthesia for percutaneous closure of left atria appendage. Trial registration: chictr.org, ChiCTR2000031857. Registered on April 12, 2020.

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“…The validated Chinese version of the QoR-40 questionnaire was used at three times: preoperatively (T0), 24 hours postoperatively (T1) and 48 hours postoperatively (T2). 15 , 16 QoR-40 contains five subscales: physical comfort (PC), emotional state (ES), physical independence (PI), patient support (PS) and pain (P). Each item is rated on a scale of 1-5, and therefore the total score can range from a minimum of 40 to a maximum of 200.…”

Section: Methodsmentioning

confidence: 99%

The effect of prophylactic rewarming on postoperative nausea and vomiting among patients undergoing laparoscopic hysterectomy: a prospective randomized clinical study

2020

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BACKGROUND: Postoperative nausea and vomiting (PONV) is a common complication from general anesthesia that impacts on postoperative recovery. OBJECTIVE: To evaluate prophylactic rewarming following general anesthesia, so as to decrease the incidence of PONV among patients undergoing laparoscopic hysterectomy. DESIGN AND SETTING: Prospective randomized clinical study at a hospital in China. METHODS: Sixty-two patients were randomly assigned into two groups. The forced air warming (FAW) group received pre-warmed Ringer's solution with FAW until the end of surgery. The control group received Ringer's solution without FAW. The pre-warmed Ringer's solution was stored in a cabinet set at 40 °C. The FAW tube was placed beside the patient's shoulder with a temperature of 43 °C. RESULTS: Sixty patients completed the study. The FAW group showed significant differences versus the controls regarding temperature. At 6, 24 and 48 hours postoperatively, the incidences of PONV were 53.3%, 6.7% and 3.3% in the FAW group versus 63.3%, 30% and 3.3% in the controls. VAS scores were significantly lower in the FAW group than in the controls at 24 hours (P= 0.035). Forty-item questionnaire total scores in the FAW group were significantly higher than in the controls. The physical independence and pain scores at 24 hours and emotional support and pain scores at 48 hours in the FAW group were higher than in the controls (P < 0.05). There was no difference in hemodynamics or demographics between the two groups (P > 0.05). CONCLUSIONS: Prophylactic rewarming relieved PONV and improved the quality of postoperative recovery. CHINESE CLINICAL TRIAL REGISTER (ChiCTR): ChiCTR-IOR-17012901.

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Use of quality of recovery score (QoR40) in the assessment of postoperative recovery and evaluation of enhanced recovery after surgery protocols

Cited by 10 publications

References 13 publications

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

A comparison of neuromuscular blockade and reversal using cisatricurium and neostigmine with rocuronium and sugamadex on the quality of recovery from general anaesthesia for percutaneous closure of left atria appendage

The effect of prophylactic rewarming on postoperative nausea and vomiting among patients undergoing laparoscopic hysterectomy: a prospective randomized clinical study

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