非计划和计划剖宫产后的恢复质量：使用产科恢复质量-10 工具的前瞻性观察研究。

IF 4.6 2区医学 Q1 ANESTHESIOLOGY Anesthesia and analgesia Pub Date : 2024-10-01 Epub Date: 2024-02-21 DOI:10.1213/ANE.0000000000006876

Juan F Morales, Andrea Gomez, Jose Carvalho, Xiang Y Ye, Kristi Downey, Naveed Siddiqui

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引用次数: 0

摘要

背景：使用经过验证的恢复质量工具来研究计划内和计划外剖宫产后患者报告的结果测量之间的差异的文献很少。产科恢复质量-10（ObsQoR-10）评分工具已通过验证，可量化剖宫产后的功能恢复情况。我们旨在使用 ObsQoR-10 比较计划内和计划外剖宫产患者的术后恢复特征：我们进行了一项前瞻性单中心观察研究。我们要求在神经麻醉下接受计划内和计划外剖宫产的患者在产后 24 小时、48 小时和 1 周内填写 ObsQoR-10 问卷。我们收集了院内术后阿片类药物总消耗量以及患者对产后 24 小时和 48 小时出院准备情况的感知。此外，我们还收集了患者的特征，以评估其与我们研究结果的相关性：我们共纳入了 112 名患者（每组 56 人）。计划内和计划外剖宫产患者在产后 24 小时、48 小时和 1 周的 ObsQoR-10 评分没有统计学差异。此外，两组患者在 24 小时和 48 小时时对出院准备情况的感知以及术后头两天的阿片类药物消耗量也没有差异。两组患者中的大多数人都认为他们在产后 24 小时内还没有准备好出院。对24小时时ObsQoR-10各组成部分的分析表明，对颤抖严重程度（非计划剖宫产者较高）和照顾个人卫生能力（非计划剖宫产者较低）的评估存在差异：结论：根据ObsQoR-10的评估，计划内和计划外剖宫产患者的恢复质量没有明显差异。

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Quality of Recovery After Unplanned and Planned Cesarean Deliveries: A Prospective Observational Study Using the Obstetric Quality of Recovery-10 Tool.

Background: There is a paucity of literature examining the differences between patient-reported outcome measures after planned and unplanned cesarean delivery using a validated quality of recovery tool. The Obstetric Quality of Recovery-10 (ObsQoR-10) scoring tool has been validated to quantify functional recovery after cesarean delivery. We aimed to use the ObsQoR-10 to compare the postoperative recovery characteristics of patients undergoing planned and unplanned cesarean deliveries.

Methods: We conducted a prospective single-center observational study. Patients undergoing planned and unplanned cesarean deliveries under neuraxial anesthesia were asked to complete the ObsQoR-10 questionnaire 24 hours, 48 hours, and 1 week postpartum. We collected information on total in-hospital postoperative opioid consumption and patients´ perception of readiness for discharge at 24 and 48 hours postpartum. Additionally, patient characteristics were collected to assess their correlation with our findings.

Results: We included 112 patients (56 in each group). No statistical differences in ObsQoR-10 scores at 24 hours, 48 hours, and 1 week postpartum were observed between the planned and unplanned cesarean deliveries. Additionally, there was no difference between the groups in patients' perception of readiness for hospital discharge at 24 and 48 hours and opioid consumption in the first 2 days after surgery. Most patients in both groups did not think they would be ready for discharge at 24 hours postpartum. Analysis of the individual components of ObsQoR-10 at 24 hours showed a difference in the responses assessing the severity of shivering (higher in unplanned cesarean deliveries) and the ability to look after personal hygiene (lower in unplanned cesarean deliveries).

Conclusions: As assessed by the ObsQoR-10, no significant difference in the quality of recovery was observed between patients undergoing planned and unplanned cesarean delivery.

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来源期刊

Anesthesia and analgesia 医学-麻醉学

CiteScore

9.90

自引率

7.00%

发文量

817

审稿时长

2 months

期刊介绍： Anesthesia & Analgesia exists for the benefit of patients under the care of health care professionals engaged in the disciplines broadly related to anesthesiology, perioperative medicine, critical care medicine, and pain medicine. The Journal furthers the care of these patients by reporting the fundamental advances in the science of these clinical disciplines and by documenting the clinical, laboratory, and administrative advances that guide therapy. Anesthesia & Analgesia seeks a balance between definitive clinical and management investigations and outstanding basic scientific reports. The Journal welcomes original manuscripts containing rigorous design and analysis, even if unusual in their approach.