Quality of recovery-9 (QoR-9) questionnaire.

<p>^a: Percentages are of the total number of patients (N = 771)</p><p>Quality of recovery-9 (QoR-9) questionnaire.</p

Pathological medical history results.

<p>^a: Percentages are of the total number of patients (N = 771).</p><p>Pathological medical history results.</p

Pathological examination results in case of normal QoR-9/medical history results.

<p>^a: Percentages are of the total number of patients (N)</p><p>^b: Percentages are of the total number of patients for each pathological examination result</p><p>Pathological examination results in case of normal QoR-9/medical history results.</p

Self-Reported, Structured Measures of Recovery to Detect Postoperative Morbidity

<div><p>Previous studies have focused on postoperative anaesthetic visit as a tool for measuring postoperative recovery or patient’s satisfaction. Whether it could also improve timely recognition of complications has not been studied yet. Aim of our study was to assess pathological findings in physical examination requiring further intervention during postoperative visit and to explore whether a self-administered version of the Quality of Recovery (QoR)-9 score, compared to a detailed medical history, can act as a screening tool for identification of patients who show a low risk to develop postoperative complications. This observational study included 918 patients recovering from various types of non-cardiac surgery and anaesthesia. The postoperative visit implied three steps: measuring the QoR-9 score, a structured medical history and a physical examination. QoR-9-score showed a comparable negative predictive value (0.93 vs. 0.92) and a higher sensitivity of finding at least one pathological examination than a detailed medical history (0.92 vs. 0.81 respectively). At least one postoperative pathological examination finding was observed in 23.7% of the patients. Our approach presents a strategy on screening postoperative patients in order to identify patients whose examination and consequent treatment should be intensified. In further studies the question could be addressed whether the postoperative visit may help to reduce complications and mortality after surgery.</p></div

Medical history and pathological examinations.

<p>N = number of patients with a certain number of complaints in medical history; n = number of patients with at least one pathological examination for each number of complaints in medical history;</p><p>^a positive predictive value;</p><p>^b risk of a pathological finding in patients without any disorder</p><p>Medical history and pathological examinations.</p

Consort diagram.

<p>Consort diagram.</p

QoR-9 score and pathological examinations.

<p>N = number of patients with a certain QoR-9 score; n = number of patients with at least one pathological examination for each QoR-9 score;</p><p>^a positive predictive value;</p><p>^b risk of a pathological finding in patients with score = 18</p><p>QoR-9 score and pathological examinations.</p

Risk to overlook a patient with a pathological examination result using QoR-9 vs. medical history depending on the prevalence.

<p>Risk to overlook a patient with a pathological examination result using QoR-9 vs. medical history depending on the prevalence.</p

Patient characteristics stratified by QoR-9.

<p>Percentages are of the total number of patients (N = 771)</p><p>Patient characteristics stratified by QoR-9.</p