Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS)

André Biscaia; Pedro Amorim; Simão Esteves; Filipa Lagarto; Blandina Gomes; José Bismarck; Nuno Rodrigues; Mafalda Nogueira; Colin F. Royse

doi:10.20344/amp.9451

Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS)

Authors

André Biscaia Family Health Unit. Unidade de Saúde Familiar Marginal. ACES de Cascais. Cascais.
Pedro Amorim Department of Anesthesiology. Hospital de Santo António. Porto.
Simão Esteves Department of Anesthesiology. Hospital de Santo António. Porto.
Filipa Lagarto Department of Anesthesiology. Hospital de Santo António. Porto.
Blandina Gomes Department of Anesthesiology. Hospital de Santo António. Porto.
José Bismarck Department of Anesthesiology. Hospital da Luz. Lisboa.
Nuno Rodrigues Department of Anesthesiology. Hospital da Luz. Lisboa.
Mafalda Nogueira Merck Sharp & Dohme, Lda. Paço de Arcos.
Colin F. Royse Department of Surgery. The University of Melbourne. Melbourne. Department of Anaesthesia and Pain Management. The Royal Melbourne Hospital. Carlton.

DOI:

https://doi.org/10.20344/amp.9451

Keywords:

Anesthesia Recovery Period, Neuropsychological Tests, Portugal, Postoperative Period, Recovery of Function, Surveys and Questionnaire

Abstract

Introduction: The Postoperative Quality Recovery Scale is a brief instrument of six domains designed to assess quality of recovery from early to long term after surgery. This study aims to validate the Portuguese version of the Postoperative Quality Recovery Scale.
Material and Methods: In this observational study 101 adult patients undergoing elective surgery completed the Postoperative Quality Recovery Scale at 15 minutes and 40 minutes, one and three days after surgery. Three constructs were assessed for validity: increased recovery over time; effect of gender and recovery association with muscle strength. Reliability, responsiveness, feasibility and acceptability were also assessed.
Results: Construct validity was shown by increased recovery over time; worse recovery for female patients in emotive, nociceptive, activities of daily living and overall recovery; improved muscle strength in recovered patients. Internal consistency for activities of daily living was acceptable at all-time points (Cronbach’s α value of 0.772 or higher), indicating scale reliability. The scale was able to detect differences in postoperative quality of recovery between the neuromuscular blockade reversal agents, neostigmine and sugammadex, indicating scale responsiveness. The time to conduct the Portuguese version at baseline was 95 - 581 seconds (median 319 seconds) and it was reduced with subsequent assessments. The proportion of patients completing all scale items was 87%, 75%, 65% and 94% for the four time periods evaluated, indicating scale feasibility and acceptability.
Discussion: This study shows that the Portuguese version of the Postoperative Quality Recovery Scale, demonstrates construct validity, reliability, responsiveness, feasibility and acceptability.
Conclusions: This study allowed validation of the Portuguese version of the Postoperative Quality Recovery Scale.

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Published

2018-10-31

How to Cite

Biscaia A, Amorim P, Esteves S, Lagarto F, Gomes B, Bismarck J, Rodrigues N, Nogueira M, Royse CF. Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS). Acta Med Port [Internet]. 2018 Oct. 31 [cited 2024 Apr. 19];31(10):551-6. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451

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Issue

Vol. 31 No. 10 (2018): October

Section

Original

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