• Can J Anaesth · May 2024

    Validation of the postoperative Quality of Recovery-15 questionnaire after emergency surgery and association with quality of life at three months.

    • Victoria Le Bescond, Jonathan Petit-Phan, Maëva Campfort, Claire Nicolleau, Mathieu Conté, Guillaume Bouhours, Louis Rony, Sigismond Lasocki, and Maxime Léger.
    • Department of Anesthesia and Intensive Care, Faculty of Health, Angers University Hospital, Angers, France.
    • Can J Anaesth. 2024 May 1; 71 (5): 590599590-599.

    PurposeThe Quality of Recovery-15 (QoR-15) tool, validated for measuring postoperative recovery following scheduled surgeries, has not been psychometrically assessed in emergency contexts. Moreover, the QoR-15's associations with long-term outcomes remain underexplored. This study aimed to confirm the validity and reliability of the QoR-15 following emergency surgery and assess its association with three-month postoperative quality of life.MethodsWe conducted a prospective cohort study (August 2021-April 2022) on adult patients who underwent emergency surgery. The QoR-15 questionnaire was administered before surgery (H0) and at 24 hr (H24) and 48 hr (H48) after surgery. We examined the H24 score's associations with both the three-month quality of life, as assessed by the EQ-5D scale, and the number of days spent at home at 30 (DAH30) and 90 (DAH90) days.ResultsOf the 375 included patients, 352 (94%) completed the QoR-15 at H24 and 338 (90%) were followed up at three months. The population represented the following diverse surgical specialties: orthopedic (51%), gastrointestinal (27%), urologic (13%), and others (9%). The QoR-15 questionnaire confirmed all psychometric qualities (internal consistency, reproducibility, responsiveness, acceptability, construct, and convergent validities) in the emergency context. The average minimum clinical difference was 8.0 at H24. There was an association between QoR-15 at H24 and the three-month quality of life (r = 0.24; 95% confidence interval [CI], 0.14 to 0.34; P < 0.001), DAH30 (r = 0.33; 95% CI, 0.23 to 0.41; P < 0.001), and DAH90 (r = 0.31; 95% CI, 0.22 to 0.40; P < 0.001).ConclusionThe QoR-15 score is valid for measuring early postoperative recovery after emergency surgery. The H24 score significantly correlated with both the three-month quality of life and the number of days at home.Study RegistrationClinicalTrials.gov (NCT04845763); first submitted 11 April 2021.© 2024. The Author(s).

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