Validation of Chinese version of a global anesthetic recovery questionnaire: A multicenter observational trial on ObsQoR-11

Abstract

Background: The obstetric quality of recovery (ObsQoR-11) is considered one of the best patient-reported outcome measures of post-cesarean recovery. However, it has been neither validated in Chinese nor evaluated at >24 h after delivery. Methods: Parturients from three hospitals (n = 279) completed the Chinese ObsQoR-11 at 24 h (T1) and 96 h (T2) after elective cesarean delivery. Convergent validity was assessed by correlation of Chinese ObsQoR-11 with a 100-mm numerical rating scale (NRS) of general health status; discriminant validity of good recovery (NRS ≥ 70-mm); and construct validity by correlation with influential factors to post-cesarean recovery. The reliability and responsiveness were also assessed. Results: The Chinese ObsQoR-11 correlated moderately with the NRS [T1: r = 0.38 (95% confidence interval: 0.28–0.48), p 0.6 for each item) and responsive (Cohen effect size: 0.88; standardized response mean: 0.81). Conclusion: The Chinese ObsQoR-11may be used for assessing recovery at 24 h and 96 h after cesarean delivery. However, its’ cutoff value for good recovery may be lower than that of other versions.

Keywords

• Caesarean delivery
• Postoperative
• Quality of recovery
• Chinese