Perioperative medicine & outcomes

Identifying risk factors for poor multidimensional recovery after major surgery: A systematic review

Acta Anaesthesiol ScandPublished 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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