Abstract
BackgroundDay surgical procedures are increasing both in Sweden and internationally. Day surgery patients prepare for and handle their recovery on their own at home. The aim of this study was to investigate patients’ preoperative mental and physical health and its association with the quality of their recovery after day surgery.MethodThis was a secondary analysis of a randomized controlled trial. Data were collected at four-day surgery units in Sweden. Health-related quality of life was measured using the Short Form 36 (SF-36) Health Survey, and postoperative recovery was assessed using the Swedish web version of the Quality of Recovery (SwQoR) scale.ResultThis study included 756-day surgery patients. A low, compared with a high, preoperative mental component score was associated with poorer recovery as shown by responses to 21/24 and 22/24 SwQoR items, respectively, on postoperative days (PODs) 7 and 14. A low compared with a high preoperative physical component score was associated with poorer recovery in 18/24 SwQoR items on POD 7 and 13/24 on POD 14.ConclusionA clear message from this study is for surgeons, anaesthetists and nurses to consider the fact that postoperative recovery largely depends on patients’ preoperative mental and psychical status. A serious attempt must be made, as a part of the routine preoperative assessment, to assess and document not only the physical but also the mental status of patients undergoing anaesthesia and surgery.Trial registrationClinicaltrials.gov Identifier: NCT0249219.
Highlights
All surgical procedures are followed by postoperative recovery including patients’ increasing control over physical, psychological, social and habitual functions [1]
A clear message from this study is for surgeons, anaesthetists and nurses to consider the fact that postoperative recovery largely depends on patients’ preoperative mental and psychical status
The main study of this project [21] included 1027 patients, 756 (73.6%) of whom completed the SwQoR scale on postoperative days (PODs) 7 (Table 1)
Summary
All surgical procedures are followed by postoperative recovery including patients’ increasing control over physical, psychological, social and habitual functions [1]. Preoperative physical and psychological functions such as depression have been reported to increase the risk for postoperative complications in patients undergoing lumbar fusion [7]. The aim of this study was to investigate patients’ preoperative mental and physical health and its association with the quality of their recovery after day surgery. Method This was a secondary analysis of a randomized controlled trial.
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