Post-Op Complication
Conditions
Keywords
hysterectomy, post operative
Brief summary
It is an observational study, prospective in order to assess the impact of the implementation of an early rehabilitation program on post-operative recovery. this is measured by the qOR15 questionnaire in patients operated on for a programmed hysterectomy, it takes place in the gynecology department of the CHR Metz-Thionville hospital.
Detailed description
This program implemented will comply with HAS recommendations. The only change in management for patients participating in the study is the completion of the self-questionnaire QOR-15 on D-1 (the day before surgery), D0 (the day of the surgery) and D1 (the day after the surgery). It is planned to include 74 patients before the implementation of the early rehabilitation protocol and 74 patients after the implementation of the early rehabilitation protocol. The total duration of inclusion is established at 18 months. The measures applied should improve the patient's well-being and accelerate his return to normal life and therefore reduce the length of his stay.
Interventions
None listed
Sponsors
Centre Hospitalier Régional Metz-Thionville
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Indication of a scheduled hysterectomy * Presence of a utero-ovarian affection, deemed resectable and requiring a regulated hysterectomy (outside the context of the emergency) associated or not with pelvic or lumbar-aortic dissection. * classified ASA 1 to 3 * informed about the principles of improved rehabilitation by the surgeon and the anesthesiologist + written document (accessible on the site www.grace-asso.fr). * able to return home after discharge from the hospital, having a telephone and being able to contact their doctor or the service if necessary or transferred to a convalescent home at their request.
Exclusion criteria
* Patients included in another study * Refusal to use data by the patient * Inability to respond to self-questionnaires due to cognitive impairment, difficulties in reading or understanding the French language * Patients included in another study * Patients with severe or unbalanced associated conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the QoR-15 score D1 | day 1 | The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| occurrence of postoperative complications | day 30 | occurrence of postoperative complications (resumption of surgery at 30 days) |
| Overall duration of the hospital stay D-1 | One day before surgery | Overall duration of the hospital stay in days |
| Overall duration of the hospital stay day of discharge from hospital | Up to 30 days | Overall duration of the hospital stay in days |
| Duration of fasting pre and post-operative | Up to 30 days | Duration of fasting pre and post-operative in hours |
| Evaluation of the QoR-15 score D0 | Day 0 | The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant. |
| Post-operative nausea / vomiting Day 0 | Day of surgery | Occurrence of nausea / vomiting postoperative (yes / no) |
| Post-operative nausea / vomiting D+1 | One day after surgery | Occurrence of nausea / vomiting postoperative (yes / no) |
| Post-operative nausea / vomiting day of hospital discharge | Up to 30 days | Occurrence of nausea / vomiting postoperative (yes / no) |
| Intraoperative maximum Visual Analog Scale (VAS) on day 0 | day 0 | Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible) |
| Intraoperative maximum visual analog scale (VAS) on day 1 | One day after surgery | Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible) |
| Time before first standing | Up to 30 days | Time before first standing in hours |
| Time to return gastrointestinal function | Up to 30 days | Transit recovery time in hours |
| Enhancement of gastrointestinal motility on Day 0 | day 0 | Whether or not chewing gum is taken (yes/no) |
| Enhancement of gastrointestinal motility on day 1 | One day after surgery | whether or not chewing gum is taken (yes/no) |
| Enhancement of gastrointestinal motility on the day of discharge from the hospital | Up to 30 days | whether or not chewing gum is taken (yes/no) |
| Presence of a urinary catheter or drain in postoperative | day 0 | Presence of a urinary catheter or drain in postoperative (yes / no) |
| Evaluation of the QoR-15 score D-1 | Day -1 | The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant. |
| Rate of laparotomy | day 0 | percentage |
| Mobility on day 0 | day 0 | The time between the end of surgery and the first time to get up in hours, |
| Mobility on day 1 | One day after surgery | The time between the end of surgery and the first time to get up in hours |
| Mobility on the day of discharge from the hospital | Up to 30 days | The time between the end of surgery and the first time to get up in hours |
| Intraoperative maximum visual analog scale (VAS) on day of discharge from hospital | Up to 30 days | Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible) |
Countries
France
Outcome results
None listed