测量脊柱退行性手术后的康复质量(QoR-15):前瞻性观察研究

IF 1.9 Q3 CLINICAL NEUROLOGY
Marianne Dyrby Lorenzen , Casper Friis Pedersen , Leah Y. Carreon , Jane Clemensen , Mikkel O. Andersen
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引用次数: 0

摘要

导言恢复质量(QoR-15)评分评估患者手术和麻醉后的恢复情况。我们旨在确定腰背退行性疾病手术患者的 QoR-15 评分。此外,我们还旨在确定 QoR-15 中对患者康复质量至关重要的各个项目。材料和方法这项研究于 2021 年 12 月至 2022 年 9 月在丹麦的一家脊柱中心进行。使用移动医疗应用程序收集术前和出院后三个时间点的数据。研究先进行描述性分析,然后进行受试者内纵向重复测量。结果分析了 46 名患者的数据。基线时 QoR-15 的平均总分为 105.4 ± 18.3。出院后第 1 天的平均 QoR-15 总分为 108.1 ± 19.2,第 7 天为 118.5 ± 17.4,第 14 天为 120.7 ± 20.9。从第 1 天到第 7 天,QoR-15 的平均得分明显提高。在 15 个项目中,有 8 个项目影响了 QoR-15 的总分。我们从 QoR-15 量表中找出了对改善患者出院后康复至关重要的特定项目。还需要进一步研究,以确定这类患者出院后的具体需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measuring quality of recovery (QoR-15) after degenerative spinal surgery: A prospective observational study

Introduction

The Quality of Recovery (QoR-15) score evaluates patient's recovery after surgery and anesthesia. There is a lack of studies focusing on the patients' quality of recovery in the early post-discharge phase after elective lumbar spine surgery.

Research question

We aimed to identify the QoR-15 score in patients who underwent surgery for degenerative low back conditions. Furthermore, we aimed to identify the individual items of the QoR-15 that are crucial for the patients’ quality of recovery.

Material and methods

The study was conducted at a spine center in Denmark from December 2021 to September 2022. Data were collected, using a mobile health application, preoperatively and at 3 time points after hospital discharge. Descriptive analysis followed by within-subjects longitudinal repeated measures was conducted. The individual items of the QoR-15 score were explored using a heatmap.

Results

Data from 46 patients were analysed. The mean QoR-15 sum score at baseline was 105.4 ± 18.3. The mean QoR-15 sum scores were 108.1 ± 19.2 on post-discharge day 1, 118.5 ± 17.4 on day 7, and 120.7 ± 20.9 on day 14. The mean QoR-15 score from day 1 to day 7 improved significantly. Eight of the 15 items influenced the overall QoR-15 score.

Discussion and conclusion

This study applied the QoR-15 score in lumbar spine surgery patients. We identified specific items from the QoR-15 scale that are crucial to improving patients’ recovery after hospital discharge. Further research is needed to identify specific needs in the post-discharge period in this group of patients.

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来源期刊
Brain & spine
Brain & spine Surgery
CiteScore
1.10
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