Postoperative Recovery in Elderly Patients Assessed With QoR-15E

Postoperative Quality of Recovery in Elderly Patients Undergoing Elective Surgery With Hospital Admission: a Multicenter Prospective Cohort Study Based on Patient-reported Outcome Measures (PQoRE Study)

Postoperative recovery in elderly patients is an important part of the surgical process and affects how patients feel after surgery. To date, recovery has been measured mostly with clinical outcomes, such as complications or length of stay, but not from the patient's perspective. The QoR-15 questionnaire was designed to assess recovery from the patient's point of view and has recently been validated in Spanish as the QoR-15E.

This study aims to evaluate postoperative recovery in patients aged 80 years and older undergoing elective surgery with hospital admission, using the QoR-15E questionnaire. Patients will complete the questionnaire before surgery and on postoperative days 1, 2, 7, and 30. Additional assessments will include frailty and delirium scales, and postoperative complications will be recorded. Mortality will be evaluated 90 days after surgery, alongside the patient's subjective perception of their recovery.

Inclusion Criteria:

• Patients aged 80 years or older.
• Undergoing elective surgery requiring hospital admission.
• Able to understand and provide written informed consent.

Exclusion Criteria:

• Inability to speak Spanish.
• Pre-existing cognitive impairment.
• Emergency or urgent surgery.
• Neurosurgical or cardiac surgical procedures.
• Ambulatory (outpatient) surgery without hospital admission.