Acta clinica Croatica, Vol. 60. No. 2., 2021.
Original scientific paper
https://doi.org/10.20471/acc.2021.60.02.09
Croatian Version of the Quality of Recovery Questionnaire (QoR-40): Transcultural Adaptation and Validation
Martina Miklić Bublić
orcid.org/0000-0002-4471-1117
; Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb University Hospital Centre, Zagreb, Croatia
Pavle Miklić
; University of Zagreb School of Medicine, Zagreb, Croatia; Department of Neurosurgery, Zagreb University Hospital Centre, Zagreb, Croatia
Petra Barl
; Department of Neurosurgery, Zagreb University Hospital Centre, Zagreb, Croatia
Marijana Matas
orcid.org/0000-0002-8942-8964
; Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb University Hospital Centre, Zagreb, Croatia
Ante Sekulić
; Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb University Hospital Centre, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
Abstract
The Quality of Recovery-40 (QoR-40) questionnaire is a psychometric instrument
designed to quantify postoperative recovery. It has been translated and validated in several countries
but not in Croatia. The aim was to translate, cross-culturally adapt, and validate Croatian version of
the QoR-40. The QoR-40 was translated from English by two independent translators, back-translated
by a native speaker, and approved by an expert committee. The questionnaire was administered to
106 patients who underwent general anesthesia before elective spinal surgery, post-surgery in the
operating room, and 30 days after surgery. Internal consistency was assessed using the Cronbach’s alpha
coefficient. Construct validity was assessed by evaluating correlation between the QoR-40 and
hand grip strength. The mean preoperative global QoR-40 score was 177.6 (95% CI 174.9-180.3)
and postoperative 168.9 (95% CI 165.8-171.9); the mean change was -8.8 (95% CI -11.9 to -5.6).
Internal consistency was good for global QoR-40 score (Cronbach α=0.896), acceptable across all
domains (8>α≥7). There was a significant correlation between grip strength and total QoR-40 score,
pain, and physical independence, but not with other domains. In conclusion, the Croatian version of
the QoR-40 has acceptable properties and can be used in the assessment of postoperative recovery
in Croatian patients.
Keywords
Anesthesia; Croatian; QoR-40 questionnaire; Validation
Hrčak ID:
263489
URI
Publication date:
1.6.2021.
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