【罂粟摘要】根据QoR-15评分，早期恢复质量与择期手术后一个月的术后并发症有关

根据QoR-15评分，早期恢复质量与择期手术后一个月的术后并发症有关

贵州医科大学 麻醉与心脏电生理课题组

翻译：潘志军 编辑：潘志军 审校：曹莹

研究目的：QoR-15量表是评估术后恢复质量（QoR）的有效工具。我们的目的是评估早期QoR-15值与术后一个月并发症发生情况之间的关系。    

试验设计：我们使用了2019年7月至2020年2月在安格斯大学医院进行的前瞻性单中心队列研究的数据，该研究经法国版的QoR-15（FQoR-15）量表进行验证。  

范围设置：手术室、病房和家。

受试人群：纳入363名接受择期手术的法国成年患者（217名（59.8%）男性，中位年龄60岁（44至71岁）），其中包括139名（38.3%）门诊手术患者。

干预因素：患者在术前一天、术后24小时和48小时完成QoR-15量表。   

测定方法：根据术后发病率调查（POMS）分类记录术后并发症，直至术后30天。QoR分为优秀（QoR-15>135）、良好（122）≤ QoR-15≤ 135）、中等（90≤ QoR-15≤ 121）或较差（QoR-15<90）。还记录了术后达30天的生存率和出院率。   

主要结果：根据POMS分类，176例（48.5%）患者在术后30天内至少有一种并发症。在H24时恢复不佳的69名（19.0%）患者中，58名（84.1%）患者在术后30天内至少出现一种并发症，而在恢复良好组的42名（11.6%）患者中，这一比例为10名（23.8%）（p<0.0001）。H24时的QoR-15评分允许在术后30天内适当区分至少一种并发症的发生（AUC 0.732（95%置信区间0.680～0.784））。  

结论：术后早期QoR-15量表与择期手术后30天内术后并发症的发生中度相关（即具有预测有效性）。

原始文献来源 ????

Ma¨eva Campfort, Cl´eor Cayla , Sigismond Lasocki ,et al.Early quality of recovery according to QoR-15 score is associated with one-month postoperative complications after elective surgery [J]. (J Clin Anesth 2022 Jun;78 ).

英文原文

Early quality of recovery according to QoR-15 score is associated with one-month postoperative complications after elective surgery

Abstract

Study objective: The QoR-15 scale is a validated tool to assess the quality of postoperative recovery (QoR). Our objective was to assess the association between the early QoR-15 values and the occurrence of one-month postoperative complications.

Design: We used the data from a prospective single-centre cohort study conducted in the Angers University Hospital from July 2019 to February 2020 that validated the French version of the QoR-15 (FQoR-15).

Setting: Preoperative room, ward, and home.

Patients: 363 French-speaking adult patients, undergoing elective surgery, were enrolled (217 (59,8%) men, median age 60 (range 44 to 71) years old), including 139 (38.3%) ambulatory surgeries.

Intervention: Patients completed the QoR-15 scale the day before, at 24 and 48 h after surgery.

Measurements: Postoperative complications were recorded according to the PostOperative Morbidity Survey (POMS) classification till 30 days after surgery. The QoR was classified as excellent (QoR-15 > 135), good (122 ≤ QoR-15 ≤ 135), moderate (90 ≤ QoR-15 ≤ 121) or poor (QoR-15 < 90). Days alive and out of hospital up to 30 days after surgery was also recorded.

Main results: According to the POMS classification, 176 (48.5%) patients had at least one complication up to 30 days after surgery. Among the 69 (19.0%) patients with a poor recovery at H24, 58 (84.1%) had at least one complication up to 30 days after surgery compared to 10 (23.8%) among the 42 (11.6%) in the excellent recovery group (p < 0.0001). The QoR-15 score at H24 allowed suitable discrimination of the occurrence of at least one complication up to 30 days after surgery (AUC 0.732 (95% CI 0.680 to 0.784)).

Conclusion: The early QoR-15 scale after surgery is moderately associated with the occurrence of postoperative complications up to 30 days after elective surgeries (i.e. it has predictive validity).