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术后恢复和结果——我们在测量什么,以及为谁测量?

Postoperative recovery and outcomes--what are we measuring and for whom?

机构信息

Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Department of Surgery, The University of Melbourne, Melbourne, Victoria, Australia.

出版信息

Anaesthesia. 2016 Jan;71 Suppl 1:72-7. doi: 10.1111/anae.13312.

DOI:10.1111/anae.13312
PMID:26620150
Abstract

Recovery is an abstract quantity the definition of which varies according to the pre-dilection of individual institutions, clinicians or patients. While traditionally focused on immediate postoperative restitution of function and readiness for discharge, recovery assessment has progressively expanded its focus to include other clinically relevant time periods, each of which is influenced by specific factors. Assessment tools have progressed from assessing one dimension of recovery, such as physiological variables, to multidimensional assessment of physical, nociceptive, emotive, functional and cognitive performance. They should be validated ideally for repeat measures and should provide real-time recovery data, as recovery can be viewed as a continuous process.

摘要

恢复是一个抽象的量,其定义因个别机构、临床医生或患者的偏好而异。虽然传统上侧重于术后即刻恢复功能和准备出院,但恢复评估已逐渐将其重点扩大到包括其他具有临床意义的时间段,每个时间段都受到特定因素的影响。评估工具已从评估生理变量等单一维度的恢复进展到对身体、疼痛、情感、功能和认知表现的多维评估。理想情况下,它们应该经过重复测量的验证,并应提供实时恢复数据,因为恢复可以被视为一个连续的过程。

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