Quality of recovery after major emergency abdominal surgery: a prospective observational cohort study
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Quality of recovery after major emergency abdominal surgery : a prospective observational cohort study. / Oreskov, Jakob O; Burcharth, Jakob; Nielsen, Andreas F; Ekeloef, Sarah; Kleif, Jakob; Gögenur, Ismail.
I: Minerva Chirurgica, Bind 75, Nr. 2, 04.2020, s. 104-110.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Quality of recovery after major emergency abdominal surgery
T2 - a prospective observational cohort study
AU - Oreskov, Jakob O
AU - Burcharth, Jakob
AU - Nielsen, Andreas F
AU - Ekeloef, Sarah
AU - Kleif, Jakob
AU - Gögenur, Ismail
PY - 2020/4
Y1 - 2020/4
N2 - 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.
AB - 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.
KW - Abdomen/surgery
KW - Aged
KW - Aged, 80 and over
KW - Cohort Studies
KW - Emergency Treatment
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Reported Outcome Measures
KW - Prospective Studies
KW - Recovery of Function
KW - Self Report
KW - Time Factors
U2 - 10.23736/S0026-4733.20.08226-7
DO - 10.23736/S0026-4733.20.08226-7
M3 - Journal article
C2 - 32009335
VL - 75
SP - 104
EP - 110
JO - Minerva Chirurgica
JF - Minerva Chirurgica
SN - 0026-4733
IS - 2
ER -
ID: 283365634