Evaluation of the relationship between the Obstetric Comorbidity Index (Ob-CMI) and the Obstetric Quality Of Recovery Score (ObsQoR-11): a prospective observational study.
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| Title: | Evaluation of the relationship between the Obstetric Comorbidity Index (Ob-CMI) and the Obstetric Quality Of Recovery Score (ObsQoR-11): a prospective observational study. |
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| Authors: | Şensöz Çelik G; Department of Anaesthesiology and Reanimation, Prof. Dr. Cemil Taşcıoğlu City Hospital, İstanbul, Türkiye. Electronic address: gayesensozcelik@gmail.com., Gültop F; Department of Anaesthesiology and Reanimation, Prof. Dr. Cemil Taşcıoğlu City Hospital, İstanbul, Türkiye., Okur O; Department of Anaesthesiology and Reanimation, Prof. Dr. Cemil Taşcıoğlu City Hospital, İstanbul, Türkiye. |
| Source: | International journal of obstetric anesthesia [Int J Obstet Anesth] 2025 Nov; Vol. 64, pp. 104735. Date of Electronic Publication: 2025 Jul 17. |
| Publication Type: | Journal Article; Observational Study |
| Language: | English |
| Journal Info: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 9200430 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-3374 (Electronic) Linking ISSN: 0959289X NLM ISO Abbreviation: Int J Obstet Anesth Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2004->: Amsterdam, The Netherlands : Elsevier Original Publication: Edinburgh ; New York : Churchill Livingstone, c1991- |
| MeSH Terms: | Cesarean Section* , Anesthesia, Obstetrical* , Anesthesia Recovery Period*, Humans ; Female ; Prospective Studies ; Pregnancy ; Adult ; Comorbidity ; Young Adult |
| Abstract: | Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Background: Caesarean delivery is a common surgical procedure associated with significant maternal morbidity and mortality. Delayed postoperative recovery is a critical concern influenced by various factors. This study evaluates whether the Obstetric Comorbidity Index (OB-CMI) predicts postoperative recovery quality, hypothesizing a correlation with the Obstetric Quality of Recovery score (ObsQoR-11). Methods: In our prospective observational study, patients' demographic data, medical history, ASA score, gravida, parity, gestational age, caesarean delivery category and indication if emergency, OB-CMI, anaesthesia method, intraoperative bleeding and transfusion of blood products, complications, postoperative analgesia use, the duration of hospitalization, the need for admission to intensive care unit and duration (if applicable) and the discharge status were recorded. The primary outcome was the correlation between OB-CMI and ObsQoR-11 scores on postoperative days 1 and 2. Secondary outcomes included comparisons of ObsQoR-11 scores across caesarean categories and anaesthesia techniques. Results: There were 214 patients included in this study. A negative significant correlation was found between the OB-CMI and the ObsQoR-11 score on day 1 (R: -0.286, P <0.001) and day 2 (R: -0.225, P =0.001). The OB-CMI was found to be significantly lower in patients who received neuraxial anaesthesia compared to those who received general anesthesia (P =0.009). The ObsQoR-11 score was found to be significantly lower in patients who received general anaesthesia compared to patients who received neuraxial anaesthesia. Conclusion: A negative correlation between preoperative OB-CMI and postoperative ObsQoR-11 scores suggests that OB-CMI may serve as a valuable preoperative tool for predicting recovery quality in caesarean delivery cases. (Copyright © 2025 Elsevier Ltd. All rights reserved.) |
| Contributed Indexing: | Keywords: Caesarean delivery; Comorbidity; OB-CMI; ObsQoR-11; Obstetric; Quality of recovery |
| Entry Date(s): | Date Created: 20250731 Date Completed: 20251012 Latest Revision: 20251120 |
| Update Code: | 20251121 |
| DOI: | 10.1016/j.ijoa.2025.104735 |
| PMID: | 40743676 |
| Database: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br />Background: Caesarean delivery is a common surgical procedure associated with significant maternal morbidity and mortality. Delayed postoperative recovery is a critical concern influenced by various factors. This study evaluates whether the Obstetric Comorbidity Index (OB-CMI) predicts postoperative recovery quality, hypothesizing a correlation with the Obstetric Quality of Recovery score (ObsQoR-11).<br />Methods: In our prospective observational study, patients' demographic data, medical history, ASA score, gravida, parity, gestational age, caesarean delivery category and indication if emergency, OB-CMI, anaesthesia method, intraoperative bleeding and transfusion of blood products, complications, postoperative analgesia use, the duration of hospitalization, the need for admission to intensive care unit and duration (if applicable) and the discharge status were recorded. The primary outcome was the correlation between OB-CMI and ObsQoR-11 scores on postoperative days 1 and 2. Secondary outcomes included comparisons of ObsQoR-11 scores across caesarean categories and anaesthesia techniques.<br />Results: There were 214 patients included in this study. A negative significant correlation was found between the OB-CMI and the ObsQoR-11 score on day 1 (R: -0.286, P <0.001) and day 2 (R: -0.225, P =0.001). The OB-CMI was found to be significantly lower in patients who received neuraxial anaesthesia compared to those who received general anesthesia (P =0.009). The ObsQoR-11 score was found to be significantly lower in patients who received general anaesthesia compared to patients who received neuraxial anaesthesia.<br />Conclusion: A negative correlation between preoperative OB-CMI and postoperative ObsQoR-11 scores suggests that OB-CMI may serve as a valuable preoperative tool for predicting recovery quality in caesarean delivery cases.<br /> (Copyright © 2025 Elsevier Ltd. All rights reserved.) |
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| ISSN: | 1532-3374 |
| DOI: | 10.1016/j.ijoa.2025.104735 |