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It is an observational study, prospective in order to assess the impact of the implementation of an early rehabilitation program on post-operative recovery. this is measured by the qOR15 questionnaire in patients operated on for a programmed hysterectomy, it takes place in the gynecology department of the CHR Metz-Thionville hospital.
This program implemented will comply with HAS recommendations. The only change in management for patients participating in the study is the completion of the self-questionnaire QOR-15 on D-1 (the day before surgery), D0 (the day of the surgery) and D1 (the day after the surgery).
It is planned to include 74 patients before the implementation of the early rehabilitation protocol and 74 patients after the implementation of the early rehabilitation protocol. The total duration of inclusion is established at 18 months.
The measures applied should improve the patient's well-being and accelerate his return to normal life and therefore reduce the length of his stay.
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| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of the QoR-15 score D1 | The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant. | day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Overall duration of the hospital stay D-1 | Overall duration of the hospital stay in days | One day before surgery |
| Overall duration of the hospital stay day of discharge from hospital | Overall duration of the hospital stay in days |
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Inclusion Criteria:
Exclusion Criteria:
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Patients will be selected according to the inclusion and exclusion criteria when they go to the operating room. It is planned to include 74 patients for rehabilitation before the implementation of the protocol and 74 patients after the implementation of the protocol.
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| Name | Affiliation | Role |
|---|---|---|
| Antoine BECRET, MD | CHR Metz-Thionville | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHR Metz-Thionville | Metz | 57085 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35393312 | Derived | Martin F, Vautrin N, Elnar AA, Goetz C, Becret A. Evaluation of the impact of an enhanced recovery after surgery (ERAS) programme on the quality of recovery in patients undergoing a scheduled hysterectomy: a prospective single-centre before-after study protocol (RAACHYS study). BMJ Open. 2022 Apr 7;12(4):e055822. doi: 10.1136/bmjopen-2021-055822. |
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| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Up to 30 days |
| Duration of fasting pre and post-operative | Duration of fasting pre and post-operative in hours | Up to 30 days |
| Post-operative nausea / vomiting Day 0 | Occurrence of nausea / vomiting postoperative (yes / no) | Day of surgery |
| Post-operative nausea / vomiting D+1 | Occurrence of nausea / vomiting postoperative (yes / no) | One day after surgery |
| Post-operative nausea / vomiting day of hospital discharge | Occurrence of nausea / vomiting postoperative (yes / no) | Up to 30 days |
| Intraoperative maximum Visual Analog Scale (VAS) on day 0 | Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible) | day 0 |
| Intraoperative maximum visual analog scale (VAS) on day 1 | Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible) | One day after surgery |
| Intraoperative maximum visual analog scale (VAS) on day of discharge from hospital | Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible) | Up to 30 days |
| Time to return gastrointestinal function | Transit recovery time in hours | Up to 30 days |
| Enhancement of gastrointestinal motility on Day 0 | Whether or not chewing gum is taken (yes/no) | day 0 |
| Enhancement of gastrointestinal motility on day 1 | whether or not chewing gum is taken (yes/no) | One day after surgery |
| Enhancement of gastrointestinal motility on the day of discharge from the hospital | whether or not chewing gum is taken (yes/no) | Up to 30 days |
| Presence of a urinary catheter or drain in postoperative | Presence of a urinary catheter or drain in postoperative (yes / no) | day 0 |
| Time before first standing | Time before first standing in hours | Up to 30 days |
| occurrence of postoperative complications | occurrence of postoperative complications (resumption of surgery at 30 days) | day 30 |
| Evaluation of the QoR-15 score D0 | The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant. | Day 0 |
| Evaluation of the QoR-15 score D-1 | The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant. | Day -1 |
| Rate of laparotomy | percentage | day 0 |
| Mobility on day 0 | The time between the end of surgery and the first time to get up in hours, | day 0 |
| Mobility on day 1 | The time between the end of surgery and the first time to get up in hours | One day after surgery |
| Mobility on the day of discharge from the hospital | The time between the end of surgery and the first time to get up in hours | Up to 30 days |