Department of Surgery, Center for Surgical Science, Zealand University Hospital, Koege, Denmark -
Department of Surgery, Center for Surgical Science, Zealand University Hospital, Koege, Denmark.
Minerva Chir. 2020 Apr;75(2):104-110. doi: 10.23736/S0026-4733.20.08226-7. Epub 2020 Jan 29.
Major emergency abdominal surgery results in high morbidity and mortality. We aimed to describe patient-reported quality of recovery after major emergency abdominal surgery.
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.
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).
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.
重大急诊腹部手术后发病率和死亡率较高。本研究旨在描述重大急诊腹部手术后患者的恢复质量。
本研究为前瞻性观察队列研究，纳入 2016 年 11 月至 2017 年 2 月期间在一所大学医院接受重大急诊腹部手术的患者。患者在术后 30 天内分 6 次使用 15 项问卷（QoR-15）进行采访。患者 QoR-15 的最高得分为 0-150，根据恢复状态分为 4 组：较差（得分 0-89）、中等（得分 90-121）、良好（得分 122-135）和优秀（得分 136-150）。
共纳入 37 例患者。术后第 1 天，患者的恢复状态主要为较差至中等（较差 8 例[22%]，中等 23 例[62%]，良好 4 例[11%]，优秀 2 例[5%]）。术后 7 天内，16 例（55%）患者报告恢复较差或中等，14 天后恢复良好或优秀（19 例[68%]）。术后 30 天患者未完全恢复（18 例[62%]恢复良好）。
QoR-15 测量的恢复在重大急诊腹部手术后甚至在术后 14 天和 30 天仍受到很大影响。术后 7 天内，患者的恢复较差或仅为中等，术后 30 天仅有 62%的患者完全恢复。
