Department of Anaesthesiology and Peri-operative Medicine, Alfred Hospital and Monash University, Melbourne, Vic., Australia.
Anaesthesia. 2020 Jan;75 Suppl 1:e143-e150. doi: 10.1111/anae.14786.
Traditional surgical outcome measures include minor and major complications, hospital length of stay and sometimes longer-term survival. Each of these is important but there needs to be greater emphasis on patient-reported outcome measures. Global measures of a patient's quality of recovery, avoidance of postoperative morbidities, early hospital discharge to home (without re-admission) and longer term disability-free survival can better define postoperative recovery. A patient's recovery pathway can be mapped through the immediate days or weeks after surgery with documentation of morbidity using the postoperative morbidity survey and/or a quality of recovery score, days alive and at home up to 30 days after surgery and then longer term disability-free survival using the WHO Disability Assessment Schedule 2.0 scale. These can be used to define quality of recovery after surgery.
传统的手术结果衡量标准包括轻微和严重并发症、住院时间，有时还包括长期生存。这些都很重要，但需要更加重视患者报告的结果衡量标准。患者康复质量的全球衡量标准、避免术后病残、早期出院回家（无再入院）和长期无残疾生存，可以更好地定义术后康复。可以通过记录术后发病率调查和/或恢复质量评分来描述患者的术后恢复路径，使用术后发病率调查和/或恢复质量评分来描述患者在手术后几天或几周内的发病情况，使用世界卫生组织残疾评估表 2.0 量表来描述术后 30 天内的生存天数和在家天数，然后是长期无残疾生存。这些可用于定义手术后的康复质量。
