Swedish Web Version of the Quality of Recovery Scale Adapted for Patients Undergoing Local Anesthesia and Peripheral Nerve Blockade (SwQoR-LA): Prospective Psychometric Evaluation Study.

Ulrica Nilsson,Maria Jaensson,Karuna Dahlberg

doi:10.2196/23090

Abstract

BackgroundThe frequency and timing of assessing patient symptoms and discomfort during postoperative recovery are goals. Therefore, real-time recovery evaluation has been suggested to identify specific deficits in patient recovery.ObjectiveThis study aimed to psychometrically evaluate the Swedish Web Version of the Quality of Recovery (SwQoR) Scale adapted for patients undergoing local and peripheral nerve block (SwQoR-LA).MethodsThis was a secondary analysis of a psychometric evaluation of 107 patients aged ≥18 years undergoing day surgery under local or peripheral nerve block anesthesia at 4 different day surgery departments in Sweden. The SwQoR-LA, available through a mobile app called Recovery Assessment by Phone Points (RAPP), was completed daily on postoperative days 1-7.ResultsSome evidence of construct validity was supported, and discriminant validity was found in 7 of 8 items related to general anesthesia. The internal consistency was acceptable (.87-.89), and the split-half reliability was 0.80-0.86. Cohen d effect size was 0.98, and the percentage of change from baseline was 43.4%. No floor nor ceiling effects were found.ConclusionsThe SwQoR-LA is valid, reliable, responsive, and clinically feasible for digital real-time recovery assessment of patient recovery to identify specific deficits in patient recovery and detect those patients who might beneﬁt from a timely intervention.Trial RegistrationClinicalTrials.gov NCT02492191; https://clinicaltrials.gov/ct2/show/NCT02492191International Registered Report Identifier (IRRID)RR2-10.1136/bmjopen-2015-009901

Highlights

Postoperative recovery is an individual process and a transformative journey to a new stable state [1]
The SwQoR-LA is valid, reliable, responsive, and clinically feasible for digital real-time recovery assessment of patient recovery to identify specific deficits in patient recovery and detect those patients who might benefit from a timely intervention
Postoperative care at the hospital for day surgery patients is short, as the patients are discharged on the same day or within 24 hours [6]

Summary

Introduction

Postoperative recovery is an individual process and a transformative journey to a new stable state [1]. Postoperative care at the hospital for day surgery patients is short, as the patients are discharged on the same day or within 24 hours [6]. This quick discharge implies that patients must take on great responsibility for their recovery process [7,8]. Real-time recovery evaluation—that is, the simultaneous collection, analysis, and reporting of data occurring at different clinically relevant postoperative intervals—has been suggested to identify specific deficits in patient recovery [12,13,14]. Real-time recovery evaluation has been suggested to identify specific deficits in patient recovery

Methods

Results

Discussion

Conclusion