Perioperative medicine & outcomes
Quality of patient-centred recovery trajectories after different types of surgery: a prospective cohort study
Authors' conclusion
Recovery after surgery varies according to the extent of surgery and the presence of postoperative complications. Follow-up and measurement of recovery was highly valued by patients.
Study context
- Population
- Adults undergoing elective intermediate or cardiac surgery, or day case gastroscopy188 (94%) complete follow-up
- Participants
- 199 adults
- Exposure
- Intermediate vs cardiac surgery vs day case gastroscopy
- Outcome
- Co-primary: differences in nadir and slope of the recovery trajectory measured by QoR-15 (range 0-150)
- Follow-up
- Up to 90 days
Methodological detailstime series analysis, smartphone text messaging follow-up, QoR-15 recorded preoperatively, then daily for 2 weeks, weekly for 2 weeks, monthly up to 90 days via smartphone text messaging
- Time series analysis
- Smartphone text messaging follow-up
- QoR-15 recorded preoperatively, then daily for 2 weeks, weekly for 2 weeks, monthly up to 90 days via smartphone text messaging
Main finding
As reported in the abstract
Nadir QoR-15 score
Gastroscopy
128
median · IQR 93–145
Intermediate
87
median · IQR 70–102
Cardiac
70
median · IQR 60–81
P < 0.001
Observational data: associations, not effects.
Further findings
Median
| Outcome | Gastroscopy | Intermediate | Cardiac | P value |
|---|---|---|---|---|
| DAH30 · up to 30 daysIntermediate vs Gastroscopy | 29.9 (IQR 29.9–29.9) | 28.8 (IQR 26.1–29.1) | 22.9 (IQR 18.9–24.1) | P < 0.001 |
| DAH30 · up to 30 daysCardiac vs Gastroscopy | P < 0.001 |
Association between QoR-15 nadir and DAH30
- Rho
- 0.52
- P
- P < 0.001
Patient satisfaction with frequent text messaging
- Most patients very satisfied or satisfied
Original publication
Quality of patient-centred recovery trajectories after different types of surgery: a prospective cohort study. Br J Anaesth. Published 5 July 2025. doi:10.
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