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Defining Postoperative Quality of Recovery

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Perioperative Medicine – Current Controversies

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Abstract

Central to the practice of perioperative medicine and patient centred care are the abstract ideals of quality and recovery, neither of which have a universally accepted definition or assessment tool. Recovery definitions have progressed from a historical emphasis on short-term restitution of purely physiological parameters to a multidimensional concept, which includes physiological, nociceptive, emotive, functional and cognitive domains. With an ageing, ambulant perioperative population and an increasing understanding of the interplay between physiological stress and neurophysiology, there is increased importance of cognitive assessment. Current recovery assessment tools vary in their validation and differ in their assessment of recovery as a dichotomous vs. continuous variable, and at the individual vs. group level. Ideally, quality of recovery would be defined as a return of a patient’s function to their own baseline or better and assessed in multiple domains and over multiple time points. The ideal recovery assessment tool would allow real-time assessment of recovery with facility to identify in which sub-domain recovery has failed, in both individual patients and at a population level, thus allowing both clinical time-critical interventions and research applications.

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Authors and Affiliations

  1. Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Melbourne, VIC, Australia

    Andrea Bowyer MBBS, FANZCA, PG-CU

  2. Ultrasound Education Group, Department of Surgery, The University of Melbourne, Melbourne, VIC, Australia

    Colin F. Royse MBBS, MD, FANZCA

  3. Department of Anaesthesia and Pain Management, The Royal Melbourne Hospital, Melbourne, VIC, Australia

    Colin F. Royse MBBS, MD, FANZCA

Authors
  1. Andrea Bowyer MBBS, FANZCA, PG-CU
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  2. Colin F. Royse MBBS, MD, FANZCA
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Corresponding authors

Correspondence to Andrea Bowyer MBBS, FANZCA, PG-CU or Colin F. Royse MBBS, MD, FANZCA .

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Editors and Affiliations

  1. Waimairi Anaesthesia Ltd, Christchurch, New Zealand

    Karen Stuart-Smith

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Bowyer, A., Royse, C.F. (2016). Defining Postoperative Quality of Recovery. In: Stuart-Smith, K. (eds) Perioperative Medicine – Current Controversies. Springer, Cham. https://doi.org/10.1007/978-3-319-28821-5_5

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  • DOI: https://doi.org/10.1007/978-3-319-28821-5_5

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