CERRAHİ TİPİ DERLENME KALİTESİ SKORUNU ETKİLİYOR MU?

Amaç: Cerrahi sonrası derlenme hasta özellikleri, cerrahi işlem ve anestezi gibi çeşitli faktörlerden etkilenen karmaşık bir durumdur. Quality of Recovery-15 (QoR-15) anketi anestezi ve cerrahi sonrası derlenme kalitesini ölçmede kullanılan ve hasta tarafından belirlenen sonuçları olan bir ankettir. Çalışmamızda elektif septorinoplasti veya orta kulak cerrahisi geçirecek hastalarda derlenme kalitesini değerlendirmede QoR-15 ölçeğinin etkinliğini karşılaştırmayı amaçladık. Gereç ve Yöntem: Çalışmaya etik kurul izni ve hasta onamı alındıktan sonra, septorinoplasti ve orta kulak cerrahisi geçirecek hastalar dahil edildi. Hastaların yaşı, cinsiyeti, ASA skoru, eğitim durumu, cerrahi tipi, anestezi ve cerrahi süresi kaydedildi. Hastalardan operasyondan önce ve operasyondan 24 saat sonra iki kez Quality of Recovery-15 anketini doldurmaları istendi. Anket sonucu alınan puanlar mükemmel, iyi, orta ve kötü olarak sınıflandırıldı. Bulgular: Çalışmaya 51 septorinoplasti (Grup 1) ve 53 orta kulak cerrahisi geçirecek (Grup 2) toplam 104 hasta dahil edildi. Anestezi ve cerrahi süresi Grup 1’de, Grup 2’ye göre anlamlı uzun bulundu. Preoperatif dönemde değerlendirilen QoR-15 skoru ortalaması her iki grupta 135 puanın üzerinde ve mükemmel grubunda idi. Postoperatif QoR-15 skorları değerlendirildiğinde, Grup 1’de ortalama 122.2±16 ve Grup 2’de 136.4±11.8 olarak saptandı (p=0,0001). QoR-15 skorları grup içi karşılaştırıldığında, her iki grupta postoperatif dönemde preoperatif döneme göre anlamlı azalma olduğu bulundu (p<0,0001). Sonuç: Hastanın derlenme kalitesini sınıflandırmak, hastaneden taburcu olmaya hazır olup olmadığını değerlendirmek için ek bir araç olabilir. QoR-15 anketi kısa sürede ve hasta tarafından kolay yapılabilmesi nedeniyle, hasta bakımını geliştirmede standart izlem aracı olarak kullanılabilir.

Anahtar Kelimeler:

postoperatif derlenme, quality of recovery-15, anket, genel anestezi

DOES TYPE OF SURGERY AFFECT QUALITY OF RECOVERY SCORE?

Aim: Postoperative recovery is a complex process affected by various factors such as patient characteristics, surgical procedure, and anesthesia. The quality of recovery-15 (QoR-15) questionaire is a patient-reported outcome measurement of quality of recovery after anesthesia and surgery. In this study, we aimed to measure and compare the effectiveness of the QoR-15 questionaire in patients undergoing septorhinoplasty and chronic otitis media surgeries under general anesthesia. Material and Method: After obtaining institutional ethics committee approval and patient consent, patients scheduled for elective septorhinoplasty and chronic otitis media surgeries were enrolled to the study. Demographic characteristics, ASA score, educational status, type of surgery, duration of anesthesia and surgery were recorded. Patients completed the QoR-15 questionaire preoperatively and 24 hours postoperatively. The scores of the questionaire were classified as excellent, good, moderate and bad. Results: A total of 104 patients presenting for elective septorhinoplasty (Group 1, n=51) and chronic otitis media surgery (Group 2, n=53) were included in the study. Duration of anesthesia and surgery were found longer in Group 1 compared to Group 2. The mean QoR-15 scores were above 135 points in both groups and classified as excellent, preoperatively. The mean postoperative QoR-15 scores were 122,2±16 and 136,4±11,8 in Group 1 and 2, respectively (p=0,0001). In within group comparisons, there was a significant decrease in postoperative QoR-15 scores compared to preoperative scores in both groups (p<0,0001). Conclusion: To evaluate and classify the patient’s recovery could guide the physician to assess the readiness for discharge from hospital. As the QoR-15 questionaire can be performed easily and in a short time by the patient, it can be used as a standard follow-up tool to improve patient care.

Keywords:

postoperative recovery, quaity of recovery-15, questionnaire, general anesthesia,

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