Perioperative medicine & outcomes

Effect of general anaesthesia with remimazolam versus propofol on postoperative quality of recovery in patients undergoing ambulatory arthroscopic meniscus repair: a randomised clinical trial

BJA OpenPublished Randomised controlled trial

Primary result · Total QoR-15 scoreResult — go to the resultMedian difference 3 95% CI 1–5

Authors' conclusion

Remimazolam-based total i.v. anaesthesia was associated with small improvements in the quality of recovery; however, the improvement was less than the minimally clinically important difference.

Study context

Population
Patients aged 18–65 yr scheduled for ambulatory arthroscopic meniscus repair114 analysed
Participants
120 patients
Comparison
Remimazolam vs propofol GA
Primary endpoint
QoR-15 score
Follow-up
POD1

Primary result

Total QoR-15 score

Median difference

3

95% CI 1–5

P = 0.002

By group

Remimazolam

125

IQR 120–127.5

Propofol

121.5

IQR 119–124

Remimazolam vs Propofol
median difference 3 (95% CI 1–5); P = 0.002

As reported in the abstract

Secondary outcomes

OutcomeRemimazolamPropofolP value
QoR-15 physical independence · POD18.5 (IQR 8–10)8 (IQR 7–9)P = 0.043
QoR-15 psychological support · POD117 (IQR 13–17)12.5 (IQR 12–14)P < 0.001
Number of awakenings, first postoperative nightP = 0.042

Number of awakenings, first postoperative night

Fewer awakenings with remimazolam

Safety

OutcomeP value
HypotensionP = 0.04

Hypotension

Lower incidence of hypotension with remimazolam

Original publication

Effect of general anaesthesia with remimazolam versus propofol on postoperative quality of recovery in patients undergoing ambulatory arthroscopic meniscus repair: a randomised clinical trial. BJA Open. Published 28 October 2023. doi:10.1016/j.bjao.2023.100237

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