Recovery after nasal surgery vs. tonsillectomy: discriminant validation of the Postoperative Quality of Recovery Scale
Background Initial validation and feasibility of the Post‐Operative Quality of Recovery Scale (PQRS) was published in 2010. Ongoing validation includes studies to determine whether this scale can discriminate differences in recovery in similar patients having different surgery. Methods A prospective...
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| Veröffentlicht in: | Acta anaesthesiologica Scandinavica 2014-03, Vol.58 (3), p.345-351 |
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| creator | ROYSE, C. F. WILLIAMS, Z. PURSER, S. NEWMAN, S. |
| description | Background
Initial validation and feasibility of the Post‐Operative Quality of Recovery Scale (PQRS) was published in 2010. Ongoing validation includes studies to determine whether this scale can discriminate differences in recovery in similar patients having different surgery.
Methods
A prospective observational study included 89 patients undergoing nasal surgery and 46 patients undergoing tonsillectomy as the primary surgical procedure. Patients were assessed using the PQRS. Assessments were performed pre‐surgery, at 15 and 40 min, 1 and 3 days, and 3 months after surgery.
Results
Tonsillectomy patients were younger [25.0 standard deviation (SD) 17.8 vs. 32.1 SD 18.0 years, P = 0.031] and had shorter anaesthesia duration (29.5 SD 12.6 vs. 42.7 SD 15.8 min, P |
| doi_str_mv | 10.1111/aas.12264 |
| format | Article |
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Initial validation and feasibility of the Post‐Operative Quality of Recovery Scale (PQRS) was published in 2010. Ongoing validation includes studies to determine whether this scale can discriminate differences in recovery in similar patients having different surgery.
Methods
A prospective observational study included 89 patients undergoing nasal surgery and 46 patients undergoing tonsillectomy as the primary surgical procedure. Patients were assessed using the PQRS. Assessments were performed pre‐surgery, at 15 and 40 min, 1 and 3 days, and 3 months after surgery.
Results
Tonsillectomy patients were younger [25.0 standard deviation (SD) 17.8 vs. 32.1 SD 18.0 years, P = 0.031] and had shorter anaesthesia duration (29.5 SD 12.6 vs. 42.7 SD 15.8 min, P < 0.01). Tonsillectomy patients had worse recovery in the nociceptive (pain and nausea; P < 0.001), activities of daily living (P < 0.001) and overall recovery (P = 0.025) domains, but were not different in the cognitive, emotive (depression and anxiety) or physiological recovery domains. Complete satisfaction was lower for tonsillectomy (P < 0.001). At 3 months, there was equivalence between groups in all assessments.
Conclusion
The study shows the ability of the PQRS to discriminate recovery in different domains. Tonsillectomy has a worse recovery profile over the first 3 days in nociceptive, activities of daily living and overall recovery, which is associated with poorer satisfaction than nasal surgery.</description><identifier>ISSN: 0001-5172</identifier><identifier>EISSN: 1399-6576</identifier><identifier>DOI: 10.1111/aas.12264</identifier><identifier>PMID: 24417321</identifier><identifier>CODEN: AANEAB</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Activities of Daily Living ; Adolescent ; Adult ; Anesthesia Recovery Period ; Anesthesia, General ; Child ; Cognition ; Cohort Studies ; Discriminant Analysis ; Female ; Humans ; Male ; Nasal Cavity - surgery ; Pain Measurement ; Pain, Postoperative - drug therapy ; Pain, Postoperative - epidemiology ; Postoperative Nausea and Vomiting - epidemiology ; Postoperative Period ; Prospective Studies ; Surgery ; Tonsillectomy - methods ; Tonsillectomy - psychology ; Treatment Outcome</subject><ispartof>Acta anaesthesiologica Scandinavica, 2014-03, Vol.58 (3), p.345-351</ispartof><rights>2014 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd</rights><rights>2014 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2014 The Acta Anaesthesiologica Scandinavica Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4524-a4166b0a59fcee8d6a5fe021e1fcac53e22b524e9aca92673c5f04875711beed3</citedby><cites>FETCH-LOGICAL-c4524-a4166b0a59fcee8d6a5fe021e1fcac53e22b524e9aca92673c5f04875711beed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Faas.12264$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Faas.12264$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24417321$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ROYSE, C. F.</creatorcontrib><creatorcontrib>WILLIAMS, Z.</creatorcontrib><creatorcontrib>PURSER, S.</creatorcontrib><creatorcontrib>NEWMAN, S.</creatorcontrib><title>Recovery after nasal surgery vs. tonsillectomy: discriminant validation of the Postoperative Quality of Recovery Scale</title><title>Acta anaesthesiologica Scandinavica</title><addtitle>Acta Anaesthesiol Scand</addtitle><description>Background
Initial validation and feasibility of the Post‐Operative Quality of Recovery Scale (PQRS) was published in 2010. Ongoing validation includes studies to determine whether this scale can discriminate differences in recovery in similar patients having different surgery.
Methods
A prospective observational study included 89 patients undergoing nasal surgery and 46 patients undergoing tonsillectomy as the primary surgical procedure. Patients were assessed using the PQRS. Assessments were performed pre‐surgery, at 15 and 40 min, 1 and 3 days, and 3 months after surgery.
Results
Tonsillectomy patients were younger [25.0 standard deviation (SD) 17.8 vs. 32.1 SD 18.0 years, P = 0.031] and had shorter anaesthesia duration (29.5 SD 12.6 vs. 42.7 SD 15.8 min, P < 0.01). Tonsillectomy patients had worse recovery in the nociceptive (pain and nausea; P < 0.001), activities of daily living (P < 0.001) and overall recovery (P = 0.025) domains, but were not different in the cognitive, emotive (depression and anxiety) or physiological recovery domains. Complete satisfaction was lower for tonsillectomy (P < 0.001). At 3 months, there was equivalence between groups in all assessments.
Conclusion
The study shows the ability of the PQRS to discriminate recovery in different domains. Tonsillectomy has a worse recovery profile over the first 3 days in nociceptive, activities of daily living and overall recovery, which is associated with poorer satisfaction than nasal surgery.</description><subject>Activities of Daily Living</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anesthesia Recovery Period</subject><subject>Anesthesia, General</subject><subject>Child</subject><subject>Cognition</subject><subject>Cohort Studies</subject><subject>Discriminant Analysis</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Nasal Cavity - surgery</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Postoperative Nausea and Vomiting - epidemiology</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Surgery</subject><subject>Tonsillectomy - methods</subject><subject>Tonsillectomy - psychology</subject><subject>Treatment Outcome</subject><issn>0001-5172</issn><issn>1399-6576</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFu1DAQhi0EotuWAy-ALHGBQ7a2Yycxt1UFLdqKtrSIozXrTCAlG29tJyVvj5dt94CELyPPfPN7PD8hrzmb83ROAMKcC1HIZ2TGc62zQpXFczJjjPFM8VIckMMQ7tI1l1q_JAdCSl7mgs_I-BWtG9FPFJqInvYQoKNh8D-2uTHMaXR9aLsObXTr6QOt22B9u2576CMdoWtriK3rqWto_In0yoXoNuhTckR6PSQgTtvi_p0bCx0ekxcNdAFfPcYj8u3Tx9vT8-zi8uzz6eIis1IJmYHkRbFioHRjEau6ANUgExx5Y8GqHIVYJQ41WNCiKHOrGiarUpWcrxDr_Ii82-luvLsfMESzTvNj10GPbgiGKyXykknBE_r2H_TODb5P0xkudaVZlaBEvd9R1rsQPDZmk7YBfjKcma0ZJplh_pqR2DePisNqjfWefNp-Ak52wEPb4fR_JbNY3DxJZruONkT8ve8A_8uk35fKfP9yZsTy_LZaqqWp8j9UwKPu</recordid><startdate>201403</startdate><enddate>201403</enddate><creator>ROYSE, C. F.</creator><creator>WILLIAMS, Z.</creator><creator>PURSER, S.</creator><creator>NEWMAN, S.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>201403</creationdate><title>Recovery after nasal surgery vs. tonsillectomy: discriminant validation of the Postoperative Quality of Recovery Scale</title><author>ROYSE, C. F. ; WILLIAMS, Z. ; PURSER, S. ; NEWMAN, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4524-a4166b0a59fcee8d6a5fe021e1fcac53e22b524e9aca92673c5f04875711beed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Activities of Daily Living</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anesthesia Recovery Period</topic><topic>Anesthesia, General</topic><topic>Child</topic><topic>Cognition</topic><topic>Cohort Studies</topic><topic>Discriminant Analysis</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Nasal Cavity - surgery</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Postoperative Nausea and Vomiting - epidemiology</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Surgery</topic><topic>Tonsillectomy - methods</topic><topic>Tonsillectomy - psychology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ROYSE, C. F.</creatorcontrib><creatorcontrib>WILLIAMS, Z.</creatorcontrib><creatorcontrib>PURSER, S.</creatorcontrib><creatorcontrib>NEWMAN, S.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Acta anaesthesiologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ROYSE, C. F.</au><au>WILLIAMS, Z.</au><au>PURSER, S.</au><au>NEWMAN, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recovery after nasal surgery vs. tonsillectomy: discriminant validation of the Postoperative Quality of Recovery Scale</atitle><jtitle>Acta anaesthesiologica Scandinavica</jtitle><addtitle>Acta Anaesthesiol Scand</addtitle><date>2014-03</date><risdate>2014</risdate><volume>58</volume><issue>3</issue><spage>345</spage><epage>351</epage><pages>345-351</pages><issn>0001-5172</issn><eissn>1399-6576</eissn><coden>AANEAB</coden><abstract>Background
Initial validation and feasibility of the Post‐Operative Quality of Recovery Scale (PQRS) was published in 2010. Ongoing validation includes studies to determine whether this scale can discriminate differences in recovery in similar patients having different surgery.
Methods
A prospective observational study included 89 patients undergoing nasal surgery and 46 patients undergoing tonsillectomy as the primary surgical procedure. Patients were assessed using the PQRS. Assessments were performed pre‐surgery, at 15 and 40 min, 1 and 3 days, and 3 months after surgery.
Results
Tonsillectomy patients were younger [25.0 standard deviation (SD) 17.8 vs. 32.1 SD 18.0 years, P = 0.031] and had shorter anaesthesia duration (29.5 SD 12.6 vs. 42.7 SD 15.8 min, P < 0.01). Tonsillectomy patients had worse recovery in the nociceptive (pain and nausea; P < 0.001), activities of daily living (P < 0.001) and overall recovery (P = 0.025) domains, but were not different in the cognitive, emotive (depression and anxiety) or physiological recovery domains. Complete satisfaction was lower for tonsillectomy (P < 0.001). At 3 months, there was equivalence between groups in all assessments.
Conclusion
The study shows the ability of the PQRS to discriminate recovery in different domains. Tonsillectomy has a worse recovery profile over the first 3 days in nociceptive, activities of daily living and overall recovery, which is associated with poorer satisfaction than nasal surgery.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24417321</pmid><doi>10.1111/aas.12264</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of Daily Living Adolescent Adult Anesthesia Recovery Period Anesthesia, General Child Cognition Cohort Studies Discriminant Analysis Female Humans Male Nasal Cavity - surgery Pain Measurement Pain, Postoperative - drug therapy Pain, Postoperative - epidemiology Postoperative Nausea and Vomiting - epidemiology Postoperative Period Prospective Studies Surgery Tonsillectomy - methods Tonsillectomy - psychology Treatment Outcome |
| title | Recovery after nasal surgery vs. tonsillectomy: discriminant validation of the Postoperative Quality of Recovery Scale |
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