UNASSIGNED: Elective laparoscopic cholecystectomy patients at a single metropolitan hospital in Melbourne, Australia were surveyed 24 hours after surgery using the 15-question Quality of Recovery (QoR-15) survey. A comparison was made between day case surgeries and multi-day surgeries.
UNASSIGNED: One hundred and eight patients were recruited consisting of 34 day case and 74 multi-day patients. Patient groups did not differ in terms of age, sex or postoperative morbidity. The multi-day group had a higher proportion of comorbid patients (p-value = 0.03). There was no significant dif- ference in overall QoR-15 score between the two groups, although there was an observed trend towards a higher score in the day case group (132.0 vs 127.9, p= 0.147). QoR-15 individual question results showed that day cases rated significantly better for sleep quality and for less feelings of anxiety or worry. The differences narrowed when comparing patient groups as they were booked (intention-to-treat). There were no identified sub-groups that had a significantly higher score if admitted multi-day.
UNASSIGNED: Quality of recovery following day case laparoscopic cholecystectomy is just as good, if not better, than multi-day cases. Laparoscopic cholecystectomy as a day case is both safe and economically superior to multi-day management. This gives further weight to current recommendations suggesting that the majority of laparoscopic cholecystectomy operations could be performed as day cases.
■墨尔本一家大都会医院的择期腹腔镜胆囊切除术患者,在手术后24小时使用15个问题的恢复质量(QoR-15)调查对澳大利亚进行了调查。在日间病例手术和多日手术之间进行了比较。
■招募了108名患者,包括34天的病例和74天的患者。患者组在年龄方面没有差异,性别或术后发病率。多日组合并症患者比例较高(p值=0.03)。两组的总体QoR-15评分无显著差异。尽管在日间病例组中观察到有更高得分的趋势(132.0vs127.9,p=0.147).QoR-15个人问题结果显示,日间病例的睡眠质量和焦虑或忧虑感明显更好。比较患者组(意向治疗)时,差异缩小了。如果入院多日,则没有确定的得分明显较高的亚组。
■腹腔镜胆囊切除术后的恢复质量同样好,如果不是更好,而不是多日案件。腹腔镜胆囊切除术作为日间病例既安全又经济优于多日管理。这进一步重视了当前的建议,这些建议表明大多数腹腔镜胆囊切除术可以作为日间病例进行。