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Patient‐centred measurement of recovery from day‐case surgery using wrist worn accelerometers: A pilot and feasibility study

Anaesthesia Oct 09, 2020

Ratcliffe AM, Zhai B, Guan Y, et al. - Researchers conducted this pilot and feasibility study evaluating wrist‐worn accelerometers, vs daily quality of recovery‐15 scores, in determining recovery from day‐case surgery. They recruited 48 patients through preoperative assessment clinics to wear wrist accelerometers for 7 days before (preoperative) and immediately after elective surgery (early postoperative), and again at 3 months (late postoperative). The patients were administered validated activity and quality of recovery questionnaires. Using open-source software, raw accelerometry data were archived and analyzed. Patient questionnaires indicated subjective recovery by postoperative day 3 to 4; however, accelerometry data indicated no return of activity levels to baseline at this point. Baseline activity measures were achieved by 3 months postsurgery. Observations suggest wrist‐worn accelerometery as acceptable to patients and its feasibility as a surrogate measure for monitoring postoperative recovery from day‐case surgery. In addition, they suggest that patients may overestimate their rate of recovery from day‐case surgery.

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