Banca de QUALIFICAÇÃO: RAPHAEL KLENIO CONFESSOR DE SOUSA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : RAPHAEL KLENIO CONFESSOR DE SOUSA
DATE: 21/05/2024
TIME: 09:00
LOCAL: CTEC-PPGIS
TITLE:

QUALITY OF POSTOPERATIVE RECOVERY IN PATIENTS UNDERGOING CHOLECYSTECTOMY BY VIDEOLAPAROSCOPY AT A UNIVERSITY HOSPITAL

KEY WORDS:

Quality of recovery. QoR-15. Laparoscopic cholecystectomy

PAGES: 39
BIG AREA: Ciências da Saúde
AREA: Medicina
SUBÁREA: Cirurgia
SPECIALTY: Anestesiologia
SUMMARY:

Postoperative recovery (PR) is a complex, multifactorial process resulting largely from the confluence of physical, physiological, and psychological factors that result in the improvement or reestablishment of a preoperative status, both from the perspective of the assisting team and also from the patient's perspective. Appropriately and earlyly assessing PR quality can help identify those patients who are not showing a desirable recovery trajectory. The primary objective of the study is to use the QoR-15 questionnaire tool to describe and compare the preoperative and 24-hour postoperative score (day-1) in patients undergoing elective laparoscopic cholecystectomy surgery (LCS). The secondary objective is to describe and analyze the relationship between the identified QoR-15 score and anesthetic, surgical, and patient-related factors. This is a cross-sectional, single-center study to be carried out on 132 patients undergoing LCS surgery, aged 18–70 years, who will undergo the procedure on an elective basis and who, in the pre-anesthetic assessment, receive the ASA Physical Status classification I-III. After signing the informed consent form, patients will be asked to fill out the QoR-15 during hospitalization, pre-operatively, and 24 hours postoperatively after the surgical procedure. Additional information such as age, sex, weight, height, body mass index (BMI), preoperative fasting time, type of anesthesia (general, regional, or combined—general and regional), analgesic medications used intraoperatively and postoperatively, duration of anesthesia, duration of surgery, type of surgery (oncological or non-oncological), and antiemetics used will be collected for comparison purposes. Patient characteristics will be described as the mean and standard deviation for continuous variables and the frequency distribution for categorical variables. Data normality was checked using the Shapiro-Wilk test. Wilcoxon, McNemar, Fisher's exact, Kruskal-Wallis, and One-Way ANOVA statistical tests were used when appropriate. At this time, for qualification examination purposes, we report data from 55 patients. The preliminary result of this partial sample showed that in our service, the postoperative QOR-15 score was 137.00 (IQR - 19.50), scoring in the excellent category. However, there was no statistically significant difference in relation to the preoperative QoR-15 score of 136.00 (IQR -17.50), p = 0.7870. When analyzing the postoperative score in a categorized way, there was only a statistically significant difference between the gender variables (p-value: 0.0364). 90% of male individuals reported an excellent recovery, and 10% reported a good recovery. In the female group, 47%, 24%, and 29% reported excellent, good, and moderate recovery, respectively. In all months analyzed, the median postoperative QoR-15 was above the moderate recovery category. Conclusion: the use of a validated instrument to evaluate PR quality in a multidimensional and comprehensive way should be encouraged. In our reality, we identified that patients presented an excellent quality of postoperative recovery without, however, pointing to perioperative factors potentially associated with this score other than male sex.

COMMITTEE MEMBERS:
Presidente - 1139873 - RICARDO FERNANDO ARRAIS
Interna - 2200719 - MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
Externo à Instituição - VINICIUS FERNANDO DA LUZ