부산대학교 도서관

Quality of recovery after anesthesia is an important indicator of patient postoperative outcomes. Quality of Recovery-40 (QpR-40) is a validated and widely used multidimensional 40-item questionnaire that measures postoperative quality of recovery. The aim of this study was to perform translation and psychometric validation of the Croatian version of QpR-40, which included validity, reliability, responsiveness, and clinical acceptability. The QpR-40 and Short Form-36 (SF-36) questionnaires were administered to patients undergoing general anesthesia for elective surgery on the day before surgery and on postoperative day 3. The quality of recovery was also assessed with visual analog scale (VAS) 0-100. Of 192 enrolled patients, 162 completed the study protocol. Convergent validity assessed by Pearson correlation (r) between the QoR-40 and VAS scores was 0.68 (p0.714). Split-half coefficient was 0.87, Cohen's effect size was 0.81, and standardized response mean was 0.762. Our translated QpR-40 is a valid, reliable and comprehensive questionnaire for measuring quality of postoperative recovery across surgery spectrum in Croatian population with psychometric properties similar to the original version. Key words: Patient reported outcome measures; Quality of recovery; Validation study; Perioperative medicine Kvaliteta oporavka nakon anestezije je vazan pokazatelj poslijeoperacijskog ishoda. Quality of Recovery-40 (QpR-40) je validiran i siroko koristen multidimenzionalni upitnik za mjerenje kvalitete poslijeoperacijskog oporavka koji se sastoji od 40 pitanja. Cilj ovog rada bio je prijevod i psihometrijska validacija hrvatske verzije upitnika QpR-40 koja ukljucuje ispitivanje valjanosti, pouzdanosti i klinicke prihvatljivosti. Bolesnici podvrgnuti planiranim kirurskim zahvatima u opcoj anesteziji ispunili su upitnike QpR-40 i Short Form-36 (SF-36) dan prije operacije i treceg poslijeoperacijskog dana. Kvaliteta oporavka je procijenjena vizualnom analognom ljestvicom (VA.S) 0-100. Od 192 ukljucena bolesnika njih 162 je zavrsilo protokol studije. Konvergentna valjanost je ispitana Pearsonovim korelacijskim koeficijentom (r) izmedu QoR-40 i VAS (r=0,68; p0,714). Koeficijent split-half je 0,87, Cohenova velicina ucinka je 0,81 i standardizirani response mean 0,762. Nas prevedeni QpR-40 je valjan, pouzdan i obuhvatan upitnik za mjerenje kvalitete poslijeoperacijskog oporavka sa slicnim psihometrijskim znacajkama kao i izvorna verzija. Kljucne rijeci: Mjere ishoda koje opisuje bolesnik; Kvaliteta oporavka; Validacijska studija; Perioperacijska medicina
Introduction In the rapidly evolving field of perioperative medicine, numerous interventions have been designed and implemented before and during surgery to improve postoperative outcomes (1). Quality of postoperative recovery represents [...]