Perioperative medicine & outcomes
Identifying risk factors for poor multidimensional recovery after major surgery: A systematic review
Authors' conclusion
Our review found that there were few studies assessing preoperative risk factors as predictors for poor postoperative multidimensional recovery.
Study context
- Population
- Adults undergoing major surgery; studies of preoperative risk factors for multidimensional recovery, 3 databases, January 2012–April 20229 articles included
- Outcome
- Risk factors for multidimensional recovery
- Follow-up
- 4-6 weeks
Methodological detailswithout meta-analysis, GRADE quality appraisal, risk of bias assessment, 5150 studies identified, 1506 duplicates removed
- Without meta-analysis
- GRADE quality appraisal
- Risk of bias assessment
- 5150 studies identified, 1506 duplicates removed
Pooled result
As reported in the abstract
Preoperative risk factors for poor multidimensional recovery
- Factors associated with poor recovery: ASA grade, recovery tool baseline score, physical function, number of co-morbidities, previous surgery, psychological well-being
- Mixed results for age, BMI and preoperative pain
- Quality of evidence very low to low
Further pooled results
Interrater agreement (screening)
- Primary screening
- 86% (k = 0.47)
- Secondary screening
- 94% (k = 0.70)
Original publication
Identifying risk factors for poor multidimensional recovery after major surgery: A systematic review. Acta Anaesthesiol Scand. Published 4 July 2023. doi:10. 1111/ aas. 14302
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