PMID- 30579408
OWN - NLM
STAT- MEDLINE
DCOM- 20190225
LR  - 20190225
IS  - 1471-6771 (Electronic)
IS  - 0007-0912 (Linking)
VI  - 122
IP  - 1
DP  - 2019 Jan
TI  - Development and evaluation of an obstetric quality-of-recovery score (ObsQoR-11) 
      after elective Caesarean delivery.
PG  - 69-78
LID - S0007-0912(18)30519-1 [pii]
LID - 10.1016/j.bja.2018.06.011 [doi]
AB  - 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 ri>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.
CI  - Copyright (c) 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All
      rights reserved.
FAU - Ciechanowicz, S
AU  - Ciechanowicz S
AD  - Department of Anaesthesia and Perioperative Medicine, University College London
      Hospital, London, UK. Electronic address: s.ciechanowicz@nhs.net.
FAU - Setty, T
AU  - Setty T
AD  - Department of Anaesthesia and Perioperative Medicine, University College London
      Hospital, London, UK.
FAU - Robson, E
AU  - Robson E
AD  - Department of Anaesthesia and Perioperative Medicine, University College London
      Hospital, London, UK.
FAU - Sathasivam, C
AU  - Sathasivam C
AD  - Royal Free Hospital, London, UK.
FAU - Chazapis, M
AU  - Chazapis M
AD  - Department of Anaesthesia and Perioperative Medicine, University College London
      Hospital, London, UK.
FAU - Dick, J
AU  - Dick J
AD  - Department of Anaesthesia and Perioperative Medicine, University College London
      Hospital, London, UK.
FAU - Carvalho, B
AU  - Carvalho B
AD  - Stanford University School of Medicine, Stanford, CA, USA.
FAU - Sultan, P
AU  - Sultan P
AD  - Department of Anaesthesia and Perioperative Medicine, University College London
      Hospital, London, UK.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20180731
PL  - England
TA  - Br J Anaesth
JT  - British journal of anaesthesia
JID - 0372541
SB  - IM
MH  - Adult
MH  - Cesarean Section/adverse effects/*rehabilitation
MH  - Elective Surgical Procedures/rehabilitation
MH  - Feasibility Studies
MH  - Female
MH  - *Health Status Indicators
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Middle Aged
MH  - Patient Satisfaction/statistics & numerical data
MH  - Postoperative Complications
MH  - Postoperative Period
MH  - Pregnancy
MH  - Prospective Studies
MH  - Psychometrics
MH  - Surveys and Questionnaires
MH  - Young Adult
OTO - NOTNLM
OT  - Caesarean delivery
OT  - postoperative
OT  - quality of recovery
OT  - recovery
EDAT- 2018/12/24 06:00
MHDA- 2019/02/26 06:00
CRDT- 2018/12/24 06:00
PHST- 2017/11/06 00:00 [received]
PHST- 2018/05/18 00:00 [revised]
PHST- 2018/06/25 00:00 [accepted]
PHST- 2018/12/24 06:00 [entrez]
PHST- 2018/12/24 06:00 [pubmed]
PHST- 2019/02/26 06:00 [medline]
AID - S0007-0912(18)30519-1 [pii]
AID - 10.1016/j.bja.2018.06.011 [doi]
PST - ppublish
SO  - Br J Anaesth. 2019 Jan;122(1):69-78. doi: 10.1016/j.bja.2018.06.011. Epub 2018
      Jul 31.