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术后恢复评估:过去、现在和未来。

Evaluation of postoperative recovery: past, present and future.

机构信息

Department of Anaesthesiology, West China Hospital, Sichuan University, Chengdu, China.

The Research Units of West China(2018RU012)-Chinese Academy of Medical Sciences, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Postgrad Med J. 2023 Jul 21;99(1174):808-814. doi: 10.1136/postgradmedj-2022-141652.

DOI:10.1136/postgradmedj-2022-141652
PMID:37490361
Abstract

Postoperative recovery, as a window to observe perioperative treatment effect and patient prognosis, is a common outcome indicator in clinical research and has attracted more and more attention of surgeons and anaesthesiologists. Postoperative recovery is a subjective, multidimensional, long-term, complex process, so it is unreasonable to only use objective indicators to explain it. Currently, with the widespread use of patient-reported outcomes, various scales become the primary tools for assessing postoperative recovery. Through systematic search, we found 14 universal recovery scales, which have different structures, contents and measurement properties, as well as their own strengths and weaknesses. We also found that it is urgently necessary to perform further researches and develop a scale that can serve as the gold universal standard to evaluate postoperative recovery. In addition, with the rapid development of intelligent equipment, the establishment and validation of electronic scales is also an interesting direction.

摘要

术后恢复作为观察围手术期治疗效果和患者预后的窗口,是临床研究中常用的结局指标,越来越受到外科医生和麻醉医生的关注。术后恢复是一个主观的、多维的、长期的、复杂的过程,因此仅用客观指标来解释是不合理的。目前,随着患者报告结局的广泛应用,各种量表成为评估术后恢复的主要工具。通过系统检索,我们发现了 14 种通用的恢复量表,它们具有不同的结构、内容和测量特性,以及各自的优缺点。我们还发现,迫切需要进一步研究并开发一种可以作为评估术后恢复的黄金通用标准的量表。此外,随着智能设备的快速发展,电子量表的建立和验证也是一个有趣的方向。

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