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Recovery after nasal surgery vs. tonsillectomy: discriminant validation of the Postoperative Quality of Recovery Scale
Author(s) -
ROYSE C. F.,
WILLIAMS Z.,
PURSER S.,
NEWMAN S.
Publication year - 2014
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.12264
Subject(s) - medicine , tonsillectomy , anesthesia , pain scale , flacc scale , surgery , postoperative nausea and vomiting , nausea , postoperative pain
Background Initial validation and feasibility of the P ost‐ O perative Q uality of R ecovery S cale ( PQRS ) was published in 2010. Ongoing validation includes studies to determine whether this scale can discriminate differences in recovery in similar patients having different surgery. Methods A prospective observational study included 89 patients undergoing nasal surgery and 46 patients undergoing tonsillectomy as the primary surgical procedure. Patients were assessed using the PQRS . Assessments were performed pre‐surgery, at 15 and 40 min, 1 and 3 days, and 3 months after surgery. Results Tonsillectomy patients were younger [25.0 standard deviation ( SD ) 17.8 vs. 32.1 SD 18.0 years, P = 0.031] and had shorter anaesthesia duration (29.5 SD 12.6 vs. 42.7 SD 15.8 min, P < 0.01). Tonsillectomy patients had worse recovery in the nociceptive (pain and nausea; P < 0.001), activities of daily living ( P < 0.001) and overall recovery ( P = 0.025) domains, but were not different in the cognitive, emotive (depression and anxiety) or physiological recovery domains. Complete satisfaction was lower for tonsillectomy ( P < 0.001). At 3 months, there was equivalence between groups in all assessments. Conclusion The study shows the ability of the PQRS to discriminate recovery in different domains. Tonsillectomy has a worse recovery profile over the first 3 days in nociceptive, activities of daily living and overall recovery, which is associated with poorer satisfaction than nasal surgery.