Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Grattan St, Parkville, 3052, Australia.
Department of Surgery, University of Melbourne, Level 6, Centre for Medical Research, Royal Melbourne Hospital, Parkville, VIC, 3050, Australia.
Best Pract Res Clin Anaesthesiol. 2018 Sep-Dec;32(3-4):295-302. doi: 10.1016/j.bpa.2018.02.002. Epub 2018 Apr 10.
Traditional perioperative risk prediction recovery identifies patient populations at risk of suboptimal recovery but not individual patients in whom this actually occurs and in whom timely intervention is beneficial. Patient-focused recovery emphasises a return to a semblance of normality and an ability to perform activities previously undertaken. A patient's sense of self-efficacy and engagement in their own care positively influences functional improvement and emotive recovery. The future of recovery assessment is that which is individualised, digitalised, integrated and in real time. Real-time recovery (RTR) assessment is the contemporaneous collection, analysis and reporting of data that enable the identification of suboptimal recovery in individual patients in a timeframe that minimises the delay in the implementation of the targeted treatment. There is a need to validate the clinical utility of existing biometric technology, wireless hybrid devices and digitalised platforms in providing both clinician and patient with RTR data and to determine the effect, if any, that RTR has on patient engagement and outcome.
传统的围手术期风险预测恢复方法可以识别出存在恢复不佳风险的患者群体，但无法识别出实际存在这种情况且及时干预有益的个体患者。以患者为中心的恢复强调恢复到类似正常的状态，以及能够执行以前进行的活动的能力。患者的自我效能感和对自身护理的参与积极影响功能的改善和情绪的恢复。恢复评估的未来是个性化、数字化、集成化和实时化的。实时恢复（RTR）评估是指在尽可能缩短实施针对性治疗的延迟时间的时间框架内，对数据进行实时收集、分析和报告，从而识别个体患者的恢复不佳情况。有必要验证现有的生物计量技术、无线混合设备和数字化平台在为临床医生和患者提供 RTR 数据方面的临床实用性，并确定 RTR 是否对患者的参与和结果产生任何影响。
