Complication,Postoperative, Postoperative Period
Conditions
Keywords
Postoperative morbidity, Postoperaitve mortality, QoR15, ACS risk calculator, Recovery
Brief summary
Surgical operations and recovery after anesthesia is a complex process. Studies examining the interventions performed in the preoperative period often focus on classical clinical outcomes such as postoperative organ dysfunction, morbidity or complications. Postoperative recovery of the patient is rarely considered the most important outcome variable in interventional studies. In this study, the Quality of recovery 15 (QoR - 15) questionnaire that measures the recovery score, and the American college of surgeons surgical risk calculator have been used to compare the predictive values of patient's preoperative condition on postoperative recovery period and possible morbidity and mortality.
Detailed description
Surgical operations and recovery after anesthesia is a complex process. Studies examining the interventions performed in the preoperative period often focus on classical clinical outcomes such as postoperative organ dysfunction, morbidity or complications. Postoperative recovery of the patient is rarely considered the most important outcome variable in interventional studies. In this study, the effects of both preoperative patient condition and postoperative recovery on morbidity and mortality are investigated. In order to evaluate the ability of QoR - 15 to predict postoperative complications patients who underwent major abdominal surgery, patients answer the Quality of Recovery 15 questionnaire both in the preoperative and postoperative periods. In addition, the risk of postoperative complications is calculated in the preoperative period with the American college of surgeons (ACS) surgical risk calculator. Finally, postoperative complications of all patients are recorded according to Clavien Dindo classification. The primary goal is to understand the predictive value of the QOR15 score on postoperative complications. Secondarily, it is to compare of predictive values of QoR15 with ACS risk calculator on morbidity and mortality. Another secondary aim is to investigate the effect of preoperative conditions of patients on postoperative recovery.
Interventions
OTHERQoR15
Quality of Recovery 15 questionnaire (QoR-15) is a measurement tool that evaluates the recovery quality of patients after surgery and anesthesia by the patient himself.
OTHERACS risk calculator
American College of Surgeons risk calculator is a risk prediction tool for abdominal surgery. It calculates the risk of possible postoperative complications according to the type of surgery, ASA score, and patients' preoperative co-morbidities.
OTHERClavien - Dindo classification
It is a classification for postoperative complications.
Sponsors
Mehmet Ali Koç
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All the patients who undergone major GIS surgery
Exclusion criteria
1. Patients who has an expected mortality in six months because of the primary disease 2. Patients who received parenteral nutrition before surgery 3. Patients who has a previous major abdominal surgery 4. Patients who do not accept the surgery 5. Patients with a disability who require a nursing care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Predictive value of QoR - 15 on postoperative complications | In the preoperative period | QoR - 15 questionnaire is a measurement tool that evaluates the recovery quality of patients after surgery and anesthesia by the patient himself (patient reported outcome measure - PROM). However it has a potential to predict postoperative complication risk. Preoperative and postoperative scores of QoR - 15 will be evaluated for a cut-off value regarding postoperative complications which is recorded according to Clavien Dindo classification. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Recovery | In the preoperative period | The aim is to investigate the effect of preoperative conditions of patients on postoperative recovery with QoR - 15 questionnaire. |
| Reliability of QoR - 15 on postoperative complications | In the preoperative period | QoR15 scores are recorded and the relation of the scores and postoperative complications will be evaluated. After that predictive value of QoR - 15 will be compared to the predictive value of the widely used ACS surgical risk calculator to determine the reliability of QoR - 15 for postoperative complications. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactMehmet A Koç, MD
Backup ContactMehmet A Kuzu, MD
Outcome results
None listed