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The Role of Feedback Training on Early Postoperative Recovery and Anxiety Scores in an Ambulatory Surgical Unit: A Secular Trend Study Cover

The Role of Feedback Training on Early Postoperative Recovery and Anxiety Scores in an Ambulatory Surgical Unit: A Secular Trend Study

Open Access
|Oct 2024

Figures & Tables

Distribution of score = 5 (indicating best recovery) for each item in the QoR-10 score* and anxiety from anesthesia scores_ Phase 1 (n=300) vs_ Phase 3 (n-300)

MeasurePercentage of population with score = 5 (maximum score for each item)Significance by chi-square
Phase 1Phase 3
Spoke easily99.0%99.7%0.512
Did not experience depression99.0%99.7%0.570
Communicated easily with surrounding people99.0%100%0.389
Breathed easily98.0%99%0.221
Reported no mental distress97.7%97.3%0.570
Reported no nausea/vomiting96.3%97.3%0.731
Reported no other complaints95.3%94%0.489
Moved/walked easily93.3%97.3%0,146
Reported no shivering92.7%97.7%0.023
NRS score < 4**49.7%79%0.000
QoR-10 score (median, IQR)49(49–50)50(49–50)<0.001

Anxiety from anesthesia5.92(3.55)5.78(3.14)0.617
- Worry about anesthesia11%8.3%0.495
- Thoughts about anesthesia9%7.7%0.494
- Wanted to know more about anesthesia5%6.3%0.560

Patient and hospitalization characteristics, Phase 1 (n=300) vs_ Phase 3 (n-300)

Variable Summary MeasureSignificance by chi-square
Phase 1Phase 3
Age (median (IQR)) 50 (36–65)53(36–66)0.734

Sex (n(%))Female121(40.3)101(33.7)0.091
Male179(59.7)199(66.3)

ASA (n(%))1146(48.7)117(39)0.053
2136(45.3)168(56)
318(6)15(5)

Anesthesia type (n (%))Balanced9 (3.0)17(5.7)0.275
TIVA247 (82.3)241(80.3)
TIVA + block44 (14.7)42(14.0)

Preplanned hospitalization* (n (%))No201(67)226(75.3)0.024
Yes99(33.0)74(24.7)

Surgery TypeOrthopedics75 (25.0)75 (25.0)1.000
ENT65 (21.7)67(22.3)0.844
General surgery58 (19.3)66(22.0)0.465
Urology33 (11.0)57(19.0)0.06
Breast20 (6.7)2(0.7)0.000
Plastic12 (4.0)6(2.0)0.151
Vascular10 (3.3)10(3.3)1.000
Maxillo-facial9(3.0)9 (3.0)1.000
Eye8(2.7)6(2.0)0.569

ComorbiditiesHypertension116(38.7)73(24.3)0.777
Diabetes mellitus76(25.3)13(11.0)0.117
Smoking46(15.3)28(9.3)0.058
Obesity43(14.3)41(13.7)0.261
Cardiac32(10.7)0(0.0)0.000
Asthma14(4.7)12(4.0)0.832
COPD11(3.7)6(2.0)0,433
Hypothyroidism9(3.0)0(0.0)0.003
Renal disease9(3.0)0(0.0)0.004
Chronic anxiety8(2.7)0(0.0)0.014

Anesthesia time (median, IQR) 63(44–97)60(37–100)0.040

PACU time (median, IQR)** 90(60–120)100(80–129)0.000
DOI: https://doi.org/10.2478/jccm-2024-0036 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 353 - 360
Submitted on: Jun 6, 2024
Accepted on: Aug 20, 2024
Published on: Oct 31, 2024
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Alexander Dukhan, Teymur Yusupov, Naama Kabra, Tiberiu Ezri, Mona Boaz, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.