Predictive value of QoR-15 scores at hospital discharge for unplanned healthcare utilization after elective surgery: A prospective observational study.

IF 2.3 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2026-06-17 DOI:10.1016/j.amjsurg.2026.117103

Fernando Dana, Raquel Sebio-García, Rubèn González-Colom, Beatriz Tena, David Capitan, Dulce Momblan, Betina Campero, Elena García, Eva Rivas, Adelaida Zabalegui, Graciela Martínez-Pallí

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引用次数: 0

Abstract

Background: Unplanned healthcare utilization after elective surgery remains a relevant quality indicator; discharge decision support remains limited. This study evaluated whether the Quality of Recovery-15 (QoR-15) score at hospital discharge is associated with unplanned healthcare utilization within 30 days.

Methods: A prospective observational study (2024-2025) included patients undergoing elective general surgery. Unplanned healthcare utilization within 30 days was analyzed using multivariable logistic regression models including QoR-15 and the Comprehensive Complication Index (CCI), and clinical covariates.

Results: Among 372 patients, 20% required post-discharge emergency care and 10% were readmitted within 30 days. Lower QoR-15 scores at discharge were associated with emergency department visits. Multivariable models including QoR-15 and CCI demonstrated discriminative performance for emergency visits (AUC 0.69) and readmissions (AUC 0.78), surgical reinterventions were infrequent (3%).

Conclusions: QoR-15 assessed at hospital discharge provides information that complements complication-based metrics and may support postoperative risk stratification for discharge planning after elective general surgery.

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QoR-15评分在出院时对择期手术后非计划医疗保健利用的预测价值：一项前瞻性观察研究

背景：择期手术后非计划医疗保健利用仍然是一个相关的质量指标；出院决策支持仍然有限。本研究评估出院时康复质量-15 （QoR-15）评分是否与30天内计划外医疗保健利用相关。方法：前瞻性观察研究（2024-2025）纳入选择性普外科患者。采用多变量logistic回归模型，包括QoR-15、综合并发症指数（CCI）和临床协变量，分析30天内的计划外医疗保健利用情况。结果：372例患者中，20%需要出院后急诊治疗，10%在30天内再次入院。出院时较低的QoR-15评分与急诊就诊有关。包括QoR-15和CCI在内的多变量模型显示了急诊就诊（AUC 0.69）和再入院（AUC 0.78）的区别性表现，手术再干预很少（3%）。结论：出院时评估的QoR-15提供了补充基于并发症的指标的信息，并可能支持择期普外科术后出院计划的术后风险分层。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.