Literature DB >> 27931699

Recovery After Same-Day Surgery in Patients Receiving General Anesthesia: A Cohort Study Using the Quality of Recovery-40 Questionnaire.

Herdis Sveinsdottir, Thordis Borgthorsdottir, Maria Titia Asgeirsdottir, Kolbrun Albertsdottir, Lara Borg Asmundsdottir.   

Abstract

BACKGROUND: The contemporary rise in the number of elective procedures performed in same-day surgery (SDS) requires that health care professionals increase their knowledge of patient satisfaction and recovery, including patient-assessed quality of life. This study investigates the quality of recovery (QoR) of anesthetized SDS patients.
METHODS: Data from SDS patients were collected from hospital records at T1 (the morning before operation), T2 (day 1 postsurgery), and T3 (day 4 postsurgery). The QoR-40 and three questions that addressed tiredness, hoarseness, and thirst were used to measure health status at T2 and T3.
RESULTS: QoR-40 mean score at T2 was 175 (SD = 17.5; n = 328) and T3 was 181 (SD = 16.6; n = 340). QoR improved significantly from T2 to T3 as did tiredness, hoarseness, and thirst. Patients who underwent throat, nose, or ear surgery had the lowest mean score at T3, whereas gynecology patients had the highest mean score at the same time point. Stepwise multiple linear regression analysis found the main predictor of QoR to be tiredness at T2, needing assistance with daily activities, preoperative education, not being discharged home, length of anesthesia, self-assessed mental health at T1, and hoarseness at T2 (R2 = 0.469).
CONCLUSIONS: SDS patients needing assistance with daily activities, self-assessed in compromised mental health, who have undergone a lengthy anesthesia, and have not been discharged home need information, education, and special follow-up care. Copyright Â
© 2016 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  ambulatory surgery; anesthesia recovery; day surgery; quality indicators

Mesh:

Year:  2016        PMID: 27931699     DOI: 10.1016/j.jopan.2015.07.003

Source DB:  PubMed          Journal:  J Perianesth Nurs        ISSN: 1089-9472            Impact factor:   1.084


  5 in total

1.  The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study.

Authors:  Ulrica Nilsson; Karuna Dahlberg; Maria Jaensson
Journal:  JMIR Mhealth Uhealth       Date:  2017-12-03       Impact factor: 4.773

2.  Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study.

Authors:  Luciana Regina Ferreira da Mata; Cissa Azevedo; Aryanne Gabrielle Policarpo; Juliano Teixeira Moraes
Journal:  Rev Lat Am Enfermagem       Date:  2017-06-08

3.  Holding It Together-Patients' Perspectives on Postoperative Recovery When Using an e-Assessed Follow-Up: Qualitative Study.

Authors:  Karuna Dahlberg; Maria Jaensson; Ulrica Nilsson; Mats Eriksson; Sigrid Odencrants
Journal:  JMIR Mhealth Uhealth       Date:  2018-05-25       Impact factor: 4.773

4.  A cross-sectional study to assess the difference in perception of day surgery information between patients and medical staff in China.

Authors:  Xiaoqian Deng; Shuqing Liang; Hui Li; Divakara Gouda; Tao Zhu; Kun Xiao
Journal:  Patient Prefer Adherence       Date:  2019-03-05       Impact factor: 2.711

5.  Sex Similarities in Postoperative Recovery and Health Care Contacts Within 14 Days With mHealth Follow-Up: Secondary Analysis of a Randomized Controlled Trial.

Authors:  Maria Jaensson; Karuna Dahlberg; Ulrica Nilsson
Journal:  JMIR Perioper Med       Date:  2018-03-26
  5 in total

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