YIN Feng , YU Hai
  • Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
YU Hai, Email: yuhai@scu.edu.cn
Minimally invasive; esophagectomy; quality of recovery; influencing factor
10.7507/1007-4848.202408010
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Objective To explore the incidence and influencing factors of poor-to-moderate quality of recovery (QoR) in patients undergoing minimally invasive esophagectomy (MIE). Methods A secondary analysis was conducted based on data from a randomized controlled study on the effects of different anesthesia methods on postoperative pulmonary complications after MIE. Patients who underwent elective MIE at West China Hospital of Sichuan University from May 2019 to December 2021 were included. The QoR-15 scale was used to assess the QoR 30 days postoperatively, and logistic regression analysis was performed to identify factors affecting poor-to-moderate QoR (defined as a QoR-15 score≤121). Results A total of 541 patients were included, including 426 males and 115 females, with an average age of 63.0 years. At 30 days postoperatively, the numbers of patients with excellent, good, moderate, and poor QoR were 101 (18.7%), 273 (50.5%), 147 (27.2%), and 20 (3.7%), respectively. Multivariate logistic regression analysis indicated that preoperative pain [OR=1.527, 95%CI (1.032, 2.258), P=0.034] and a nutrition risk screening-2002 score≥3 [OR=1.617, 95%CI (1.069, 2.447), P=0.023] were influencing factors for poor-to-moderate QoR 30 days postoperatively. Conclusion About 30.9% of patients undergoing MIE have a poor-to-moderate QoR 30 days postoperatively. Improving preoperative pain management and nutritional status may enhance postoperative QoR.