Evaluación de la recuperación posquirúrgica tras cirugía oncológica de mama mediante la escala PQRS

Abstract

Introduction. Over the last decade, breast cancer surgery has become less invasive and potentially suitable for day surgery, although persistent pain after breast cancer surgery is a significant clinical problem that affects up to 60% of patients. Quantifying the quality of postoperative recovery stands out among the important quality indicators used in clinical situations. Our aim was to evaluate this after non-reconstructive breast surgery was performed under general anesthesia, in the early and late post-operative period. Design. One hundred patients have been studied in this epidemiological, observational, unicentric and prospective study. Methods. The data collected includes: age, type of anesthesia, use of rescue analgesic drugs and postoperative pain after 24 hours. The quality of post-anesthetic recovery was quantified by Postoperative Quality Recovery Scale, which is used to assess physiological, nociceptive, emotional, autonomy, cognitive and general state domains at different times: baseline (before surgery), 15 min after the end of surgery, at time of discharge from hospital, and one month after surgery. Results. The results will be expressed as percentages of recovery comparing them to the baseline PQRS. Conclusions. The study presents the following limitations: it is performed in a single hospital and the influence of other factors on pain can condition the results (duration of surgery, surgical risk, ASA).