Department of Anesthesia, Wachamo University, Medicine and Health Science College, Hossana, Ethiopia.
BMC Anesthesiol. 2024 Sep 28;24(1):342. doi: 10.1186/s12871-024-02696-2.
Recovery after surgery and anesthesia is dependent on patient, surgical, and anesthetic characteristics, as well as the presence of any of numerous adverse sequelae. Postoperative recovery is a complex and multidimensional process that requires a holistic view of the recovery of capacities and homeostasis after anesthesia and surgery.
To assess the quality of recovery after anesthesia and its affecting factors at Wachamo University Nigist Eleni Mohamed Memorial Comprehensive Hospital.
a prospective observational study was conducted at Wachamo University Nigist Eleni Mohamed Memorial Comprehensive Hospital among 384 surgical patients who undergone under anesthesia. Quality of recovery was assessed by using Quality of Recovery 40. Student t-test and one-way ANOVA were utilized to compare the mean of Quality of recovery in different groups. Binary regression was used to find out the factors affecting Quality of recovery quality of recovery. SPSS 27 was used for analysis. A p-value of < 0.05 was considered statistically significant.
Sex and smoking history were the factors that we failed to find an association with poor quality of recovery. Preoperative antiemetic administration; premedication with benzodiazepines and emergency procedures were the factors that show potential relation with poor quality of recovery after anesthesia and surgery. Procedures performed under general anesthesia; Patients who had coexisting diseases; post-anesthesia incidence of nausea and vomiting; Visual Analog Scale score >/= 7 during discharge and prolonged duration of surgery were the factors that had a significant association with poor quality of recovery.
The magnitude of good quality of recovery was 65.6% whereas 34.4% scored poor quality of recovery. The predictors for the prevalence of poor quality of recovery were found to be orthopedic procedures; procedures undergone under general anesthesia; incidence of post-anesthesia nausea and vomiting; prolonged length of the procedure and severity of pain.
手术后和麻醉后的恢复取决于患者、手术和麻醉特点，以及是否存在许多不良后果。术后恢复是一个复杂的多维过程，需要从整体上看待麻醉和手术后能力和内稳态的恢复。
评估 Wachamo 大学 Nigist Eleni Mohamed 纪念综合医院麻醉后恢复的质量及其影响因素。
在 Wachamo 大学 Nigist Eleni Mohamed 纪念综合医院对 384 名接受麻醉的手术患者进行前瞻性观察研究。使用质量恢复 40 对质量恢复进行评估。学生 t 检验和单向方差分析用于比较不同组之间质量恢复的平均值。二元回归用于找出影响质量恢复的因素。使用 SPSS 27 进行分析。p 值<0.05 被认为具有统计学意义。
性别和吸烟史是我们未能发现与质量恢复差相关的因素。术前止吐药的使用；术前使用苯二氮䓬类药物和急诊手术是与麻醉和手术后质量恢复差相关的潜在因素。全身麻醉下进行的手术；患有并存疾病的患者；麻醉后恶心和呕吐的发生率；出院时视觉模拟量表评分≥7 和手术时间延长是与质量恢复差有显著关联的因素。
质量恢复良好的比例为 65.6%，而质量恢复差的比例为 34.4%。发现影响质量恢复不良患病率的预测因子为骨科手术；全身麻醉下进行的手术；麻醉后恶心和呕吐的发生率；手术过程延长和疼痛程度。
