naa a22 4500 510743080 CHVBK 20180411083035.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s12630-013-9982-y doi (NATIONALLICENCE)springer-10.1007/s12630-013-9982-y Patient function and caregiver burden after ambulatory surgery: a cohort study of patients older than 65 [Elektronische Daten] [Gregory Bryson, Natalie Clavel, Rebecca Moga, Barbara Power, Monica Taljaard, Howard Nathan] Le fonctionnement du patient et le fardeau de l'aidant après une chirurgie ambulatoire: une étude de cohorte de patients âgés de 65 ans et plus Purpose: The primary objective of this prospective cohort study was to assess the impact of ambulatory surgery on patient function one week and one month following surgery among surgical patients≥65yr of age. Secondary objectives were to determine whether changes in patient function were correlated with increased burden of care in the patient's primary caregiver and with patient assessments of postoperative pain and quality of life. Methods: Following Research Ethics Board approval, patients aged≥65yr undergoing elective ambulatory surgery and their caregivers were recruited. Patients completed the système de mesure de l'autonomie fonctionnelle (SMAF) and the Brief Pain Inventory. Primary caregivers completed the Zarit Burden Interview (ZBI). All measurements were obtained preoperatively and on postoperative days (POD) 7 and 30. Results: Patient function decreased on POD 7 and had not returned to baseline on POD 30 (mean change in SMAF 6.9; 95% confidence interval (CI) 5.3 to 8.4 on POD 7 and mean change in SMAF 2.6; 95% CI 1.3 to 4.0 on POD 30). Interval changes in caregiver burden were not significant (mean change in ZBI −0.4; 95% CI −1.8 to 0.96 on POD 7 and mean change in ZBI −0.6; 95% CI −2.1 to 0.8 on POD 30). Decreased patient function was associated with increased caregiver burden at all time points (P<0.001). Decreased caregiver function at baseline was also associated with higher ZBI (linear association 0.71; P=0.02). Conclusions: Patients exhibited reduced function seven days following ambulatory surgery. Patient function largely recovered by POD 30. Caregiver burden was variable and influenced by both patient and caregiver function. This trial was registered with Clinical Trials.gov (NCT01382251). Canadian Anesthesiologists' Society, 2013 Bryson Gregory Department of Anesthesiology, The Ottawa Hospital, 1053 Carling Avenue, Box 249C, K1Y 4E9, Ottawa, ON, Canada aut Clavel Natalie Department of Anesthesiology, The University of Ottawa, 1053 Carling Avenue, Room B310, K1Y 4E9, Ottawa, ON, Canada aut Moga Rebecca Department of Anesthesiology, The University of Ottawa, 1053 Carling Avenue, Room B310, K1Y 4E9, Ottawa, ON, Canada aut Power Barbara Division of Geriatric Medicine, The Ottawa Hospital, 1053 Carling Avenue, Box 678, K1Y 4E9, Ottawa, ON, Canada aut Taljaard Monica Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada aut Nathan Howard Department of Anesthesiology, The Ottawa Hospital, 1053 Carling Avenue, Box 249C, K1Y 4E9, Ottawa, ON, Canada aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/9(2013-09-01), 864-873 0832-610X 60:9<864 2013 60 12630 https://doi.org/10.1007/s12630-013-9982-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-013-9982-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bryson Gregory Department of Anesthesiology, The Ottawa Hospital, 1053 Carling Avenue, Box 249C, K1Y 4E9, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Clavel Natalie Department of Anesthesiology, The University of Ottawa, 1053 Carling Avenue, Room B310, K1Y 4E9, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Moga Rebecca Department of Anesthesiology, The University of Ottawa, 1053 Carling Avenue, Room B310, K1Y 4E9, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Power Barbara Division of Geriatric Medicine, The Ottawa Hospital, 1053 Carling Avenue, Box 678, K1Y 4E9, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Taljaard Monica Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Nathan Howard Department of Anesthesiology, The Ottawa Hospital, 1053 Carling Avenue, Box 249C, K1Y 4E9, Ottawa, ON, Canada aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/9(2013-09-01), 864-873 0832-610X 60:9<864 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer