alexa Assessment of early cognitive recovery after surgery using the Post-operative Quality of Recovery Scale.


Journal of Perioperative & Critical Intensive Care Nursing

Author(s): Newman S, Wilkinson DJ, Royse CF

Abstract Share this page

Abstract BACKGROUND: Cognitive problems early after surgery are often considered transient in nature. Neuropsychological performance and its relation to other recovery parameters have rarely been systematically assessed during this period. METHODS: A subanalysis of the Post-operative Quality of Recovery Scale (PQRS) feasibility study included patients who completed the PQRS on day 3, and were categorised as recovered or not recovered in the cognitive domain using the revised scoring method. RESULTS: Of the 449 patients included in this paper, 388 (86.4\%) recovered in the cognitive domain and 61 (13.6\%) had not recovered at 3 days. Cognitive recovery in the early post-operative time points up to day 1 was significantly lower in patients who had not recovered at day 3 (P < 0.001). Of those not recovered on day 3, 59.1\% had recovered on day 1, but lapsed to non-recovery on day 3. The non-recovered group demonstrated less recovery in the physiological (P = 0.019), activity of daily living (P = 0.049) and nociceptive (P = 0.033) domains, but no difference was found in the emotive domain. The non-recovered group had a higher incidence of major surgery (P = 0.021), a higher proportion of patients with difficulty eating (4.9\% vs. 0.5\%, P = 0.002 and a clinically unimportant but lower temperature (36.6° vs. 36.4°C, P = 0.010). CONCLUSION: Failure of cognitive recovery is reasonably common 3 days after surgery, can fluctuate and is associated with poorer early recovery in the activities of daily living, nociceptive and physiological domains. © 2013 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd. This article was published in Acta Anaesthesiol Scand and referenced in Journal of Perioperative & Critical Intensive Care Nursing

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version