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Patients' assessment of 4-week recovery after ambulatory surgery
Department of Anaesthesia, The Sahlgrenska Academy, Institute for Clinical Sciences, Sahlgrenska University Hospital/Mölndal, Göteborg, Sweden.
University of Skövde, School of Life Sciences. The Sahlgrenska Academy at Göteborg University, Institute of Health and Care Sciences, Göteborg, Sweden.
Department of Anaesthesia and Intensive Care, Örebro University Hospital, Örebro, Sweden.
Department of Clinical Science, Intervention and Technology, Unit for Anaesthesia, Karolinska Institute, Stockholm, Sweden.
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2011 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 55, no 1, 92-98 p.Article in journal (Refereed) Published
Abstract [en]

Background: Patients’ own assessment of recovery after ambulatory surgery has not been well studied. The aim was to study patients’ self-assessed recovery, the occurrence and time course of post-operative problems in relation to the type of ambulatory surgery.Methods: A questionnaire was filled in by 355 patients at five time points: pre-operative, first day at home, 1, 2 and 4 weeks post-operatively. Consecutive patients who underwent either inguinal hernia repair (IHR), arthroscopic procedures (AS) or cosmetic breast augmentation (CBA) were included.Results: Unplanned return to hospital was rare (3/355). Health care contacts were noted for 9% of the patients during the first week; a total of 70 contacts occurred during the entire period. Pain was the most frequently reported symptom; 40% of the patients reported pain or mobility problems at 1 week, 28% after 2 weeks and 20% after 4 weeks. Pre-operative pain was associated with an increased level of pain during the early post-operative course, in the recovery room and at 1 week post-operatively. IHR was associated with an overall rapid recovery, while AS patients experienced a slower restitution. All AS patients who reported pain after 4 weeks had reported pain problems already pre-operatively. Pain was not present pre-operatively in the CBA group, but was common at 1 and 2 post-operative weeks and was still reported by 11% at 4 weeks.Conclusion: Self-assessed recovery was found to cover several weeks with procedure-specific recovery patterns. Pain and mobility impairment were still frequently reported 4 weeks post-operatively.

Place, publisher, year, edition, pages
The Acta Anaesthesiologica Scandinavica Foundation , 2011. Vol. 55, no 1, 92-98 p.
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-5067DOI: 10.1111/j.1399-6576.2010.02322.xISI: 000284898500015PubMedID: 21039350Scopus ID: 2-s2.0-78650017521OAI: oai:DiVA.org:his-5067DiVA: diva2:423141
Available from: 2011-06-14 Created: 2011-06-14 Last updated: 2017-12-11Bibliographically approved

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Warren Stomberg, Margareta

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