Patients' assessment of 4-week recovery after ambulatory surgery

被引:34
|
作者
Brattwall, M. [1 ]
Stomberg, M. Warren [2 ,3 ]
Rawal, N. [4 ]
Segerdahl, M. [5 ]
Jakobsson, J. [6 ]
Houltz, E. [1 ]
机构
[1] Sahlgrenska Univ Hosp Molndal, Dept Anaesthesia, Sahlgrenska Acad, Inst Clin Sci, Gothenburg, Sweden
[2] Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Gothenburg, Sweden
[3] Univ Skovde, Sch Life Sci, Skovde, Sweden
[4] Orebro Univ Hosp, Dept Anaesthesia & Intens Care, Orebro, Sweden
[5] Karolinska Inst, Dept Clin Sci Intervent & Technol, Unit Anaesthesia, Stockholm, Sweden
[6] Karolinska Inst, Dept Anaesthesia & Intens Care, Div Physiol & Pharmacol, Stockholm, Sweden
关键词
MORBIDITY;
D O I
10.1111/j.1399-6576.2010.02322.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background Patients' own assessment of recovery after ambulatory surgery has not been well studied. The aim was to study patients' self-assessed recovery, the occurrence and time course of post-operative problems in relation to the type of ambulatory surgery. Methods A questionnaire was filled in by 355 patients at five time points: pre-operative, first day at home, 1, 2 and 4 weeks post-operatively. Consecutive patients who underwent either inguinal hernia repair (IHR), arthroscopic procedures (AS) or cosmetic breast augmentation (CBA) were included. Results Unplanned return to hospital was rare (3/355). Health care contacts were noted for 9% of the patients during the first week; a total of 70 contacts occurred during the entire period. Pain was the most frequently reported symptom; 40% of the patients reported pain or mobility problems at 1 week, 28% after 2 weeks and 20% after 4 weeks. Pre-operative pain was associated with an increased level of pain during the early post-operative course, in the recovery room and at 1 week post-operatively. IHR was associated with an overall rapid recovery, while AS patients experienced a slower restitution. All AS patients who reported pain after 4 weeks had reported pain problems already pre-operatively. Pain was not present pre-operatively in the CBA group, but was common at 1 and 2 post-operative weeks and was still reported by 11% at 4 weeks. Conclusion Self-assessed recovery was found to cover several weeks with procedure-specific recovery patterns. Pain and mobility impairment were still frequently reported 4 weeks post-operatively.
引用
收藏
页码:92 / 98
页数:7
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