Development and Validation of the Surgical Recovery Scale (SRS)
| Autor: | Andrew G. Hill, Arman Kahokehr, Johanna S. Paddison, Tarik Sammour, Kamran Zargar-Shoshtari |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Scale (ratio) Colon MEDLINE Postoperative recovery Sensitivity and Specificity Colon surgery Surveys and Questionnaires Outcome Assessment Health Care Humans Medicine Postoperative Period Program Development Aged Retrospective Studies business.industry Retrospective cohort study Colonoscopy Recovery of Function Perioperative Functional recovery Surgery Surgical recovery Physical therapy Female Laparoscopy business New Zealand |
| Zdroj: | Journal of Surgical Research. 167:e85-e91 |
| ISSN: | 0022-4804 |
| DOI: | 10.1016/j.jss.2010.12.043 |
| Popis: | Background At the present, no fully validated instrument is available for the assessment of general postoperative recovery. Such an instrument would form a useful patient-centered outcome measure in studies evaluating surgical and perioperative interventions. The aim of our study is to develop and validate a summary score based on the Identity Consequence Fatigue Scale (ICFS), for the specific purpose of reliably measuring functional patient recovery following surgery. Methods Patients who underwent elective open or laparoscopic colonic resection between June 2006 and June 2009 were included. The 31 item ICFS was administered at baseline and postoperative d 3, 7, 30, and 60. Item reduction was applied based on defined parameters, to derive a single summary score capable of predicting >90% of the variance present in the original ICFS and maximizing sensitivity to changes over time. The final score was then validated against published criteria as set out by Terwee et al. [2]. Result Data from 150 patients were included in the analysis. Application of the item reduction process retained 13 items. These items form the Surgical Recovery Scale (SRS). The SRS was able to predict 94% (89.4%–98.1%) of the ICFS subscale variances, and was successfully validated against seven out of eight published validation criteria. Conclusion The new SRS is a simple and sensitive tool for the assessment of functional recovery following major surgery. Seven of the eight Terwee et al. validation criteria have been addressed, making this the most broadly validated measure of surgical recovery available. |
| Databáze: | OpenAIRE |
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