AI Article Synopsis
- Researchers developed a modified quality-of-recovery (QoR) score specifically for women undergoing elective Caesarean deliveries, addressing the lack of tailored assessment tools in obstetrics.
- The new 11-item ObsQoR-11 was created from 22 relevant items, validated by expert reviews and stakeholder feedback, and showed strong correlations with global health status and recovery discrimination.
- The ObsQoR-11 demonstrated high reliability, responsiveness, and ease of use, making it a valuable tool for assessing recovery in this patient population.
Article Abstract
Background: Whilst validated quality-of-recovery (QoR) tools exist for general surgery, there is no specific obstetric equivalent. We aimed to develop and evaluate a modified QoR score after elective Caesarean delivery.
Methods: Twenty-two obstetric specific items were selected following review and modification of the QoR-40 survey by 16 experts and interviews with 50 stakeholders. Item selection was based on relevance to Caesarean delivery and endorsement by >66% of stakeholders. Items were tested on women pre-delivery, at 24 h, and 25 h post-delivery. An 11-item obstetric-specific QoR score (ObsQoR-11) was created based on correlation with a numerical rating scale (NRS) of global health status (r>0.20) at all time points. Reliability, responsiveness, acceptability, and feasibility were tested.
Results: One hundred and fifty-two women responded to the 22-item questionnaire pre-delivery (complete in 146), 100 at 24 h, and 10 at 25 h. The ObsQoR-11 correlated with the global health status NRS (r=0.53; 95% confidence interval: 0.43-0.62; P<0.0001) and discriminated good vs poor recovery (NRS score ≥70 vs <70 mm) at 24 h. There was a negative correlation between the ObsQoR-11 score at 24 h and hospital length of stay (r=-0.39; P=0.003). ObsQoR-11 was reliable (internal consistency: 0.85; split-half 0.76; test-retest intra-class correlation coefficient r>0.6 in 82% of items) and responsive (Cohen effect size: 1.36; standardised response mean: 0.85). A longer 22-item ObsQoR had high (97%) completion rates and short (median: 2 min) completion times.
Conclusions: The ObsQoR-11 provides a valid, reliable, and responsive global assessment of recovery after elective Caesarean delivery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.bja.2018.06.011 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Posterior quadratus lumborum block versus intrathecal morphine analgesia after scheduled cesarean section: a prospective, randomized, controlled study.
Reg Anesth Pain Med
September 2024
Anaesthesia, Claude Galien Private Hospital, Quincy-sous-Senart, Île-de-France, France.
Background: During the postoperative period of elective cesarean section, intrathecal morphine is effective in the multimodal analgesic regimen, but can cause significant adverse effects. Bilateral posterior quadratus lumborum block could be alternatively used. The aim of this study was to compare efficacy and safety of both strategies as part of a multimodal analgesic regimen.
View Article and Find Full Text PDFQuality of recovery and maternal satisfaction after caesarean delivery: a mixed-methods prospective cohort study.
Int J Obstet Anesth
November 2024
Department of Anaesthesia, BC Women's Hospital, Vancouver, BC, Canada; Department of Anaesthesia, St. Paul's Hospital, Vancouver, BC, Canada; Department of Anaesthesiology, Pharmacology & Therapeutics, Vancouver, BC, Canada.
Background: Patient satisfaction and quality of recovery (QoR) are important patient-reported outcomes and quality metrics. The relationship between these two outcomes is complex, with studies showing a weak correlation between them in the non-obstetric population. We sought to evaluate the correlation between patient satisfaction and QoR scores in the obstetric population after caesarean delivery.
View Article and Find Full Text PDFValidation of Hindi version of the obstetric quality of recovery score-11 (ObsQoR-11 H) following elective caesarean section.
Indian J Anaesth
November 2023
Department of Anaesthesia and Critical Care, The Oxford Medical College Hospital and Research Centre, Bengaluru, Karnataka, India.
Background And Aims: Obstetric quality of recovery score-11 (ObsQoR-11) was developed in English to evaluate the quality of recovery in the caesarean section. We aimed to validate the Hindi version of ObsQoR-11 (ObsQoR-11H) for Hindi-speaking patients to evaluate the quality of recovery following the elective caesarean section.
Methods: The ObsQoR-11 was translated into Hindi and assessed for validity, acceptability and feasibility.
The analgesic effect of transmuscular quadratus lumborum block versus erector spinae plane block for women undergoing elective Caesarean section: A randomized controlled trial.
Br J Pain
October 2023
Department of Anesthesia and Critical Care Medicine, Cairo University, Cairo, Egypt.
Background: We aimed to compare the analgesic effect and quality of recovery of transmuscular quadratus lumborum block (QLB) and erector spinae plane block (ESPB) in the presence of multimodal analgesia following Caesarean section.
Methods: This randomised controlled trial included full-term pregnant women who underwent elective Caesarean section under spinal anaesthesia without intrathecal morphine. The included women were randomised to receive either bilateral QLB ( = 51) or bilateral thoracic ESPB ( = 51), in addition to the control group ( = 51) who did not receive any block.
Use of the Obstetric Quality-of-Recovery score (ObsQoR-11) to measure the impact of an enhanced recovery programme for elective caesarean section.
Int J Obstet Anesth
February 2024
Department of Anaesthesia, Rotunda Hospital, Dublin, Ireland.
Background: Enhanced recovery after caesarean (ERAC) has been shown to postoperatively reduce opioid consumption, reduce pain scores, and shorten hospital stay. Arguably, none of these measures provide for a patient-centred approach. We believe that patient-reported outcome measures (PROMs) represent a more holistic approach to the reporting of outcomes.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!