{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T16:19:11Z","timestamp":1773850751541,"version":"3.50.1"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T00:00:00Z","timestamp":1649203200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T00:00:00Z","timestamp":1649203200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005432","name":"Pohjois-Savon Rahasto","doi-asserted-by":"publisher","award":["65202110"],"award-info":[{"award-number":["65202110"]}],"id":[{"id":"10.13039\/501100005432","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Covernmental VTR-fund"},{"name":"University of Eastern Finland (UEF) including Kuopio University Hospital"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>We evaluated patients\u2019 functional outcomes 2\u00a0weeks after a 23-h surgery model in a tertiary care hospital.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This prospective study comprised data on 993 consecutive adult patients who underwent a 23-h surgery. Patients were interviewed before surgery and at 14\u00a0days after surgery by telephone with a multidimensional structural survey including closed- and open-ended questions. Regarding functional outcomes, the patients were asked to assess their general wellbeing, energy levels and activities of daily living on a 5-point numeric rating scale (1\u2009=\u2009poor to 5\u2009=\u2009excellent). Data on patient characteristics, medical history, alcohol use, smoking status and pre-, peri- and postoperative pain and satisfaction with the care received were collected and analysed to determine whether these factors contributed to their recovery. The primary outcome measure was patient functional recovery at 14\u00a0days after surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Most patients reported moderate to excellent functional outcomes: 93.6% (95% CI, 92.1\u2013-95.1) of the patients showed a score\u2009\u2265\u20093 on the 5-point numeric scale. One out of four patients (23%) scored all three domains as excellent. A weak inverse correlation was noted between functional recovery and most pain in the 23-h postanaesthesia care unit as well as pain at 2\u00a0weeks after surgery. A weak positive correlation was noted between functional recovery and patient satisfaction with the instructions at discharge.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Most patients showed ample functional recovery at 14\u00a0days after the 23-h surgery. Higher pain scores in the postanaesthesia care unit and 2\u00a0weeks after surgery predicted poor functional outcomes, and satisfaction with postoperative counselling predicted better outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Trial registration<\/jats:title>\n                <jats:p>ClinicalTrials.gov NCT04142203.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00423-022-02502-y","type":"journal-article","created":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T07:06:37Z","timestamp":1649228797000},"page":"2133-2142","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Patient functional recovery after a 23-h surgery \u2014 a prospective, follow-up study"],"prefix":"10.1007","volume":"407","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3954-4024","authenticated-orcid":false,"given":"Ulla-Maija","family":"Ruohoaho","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sirpa","family":"Aaltomaa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5922-7195","authenticated-orcid":false,"given":"Hannu","family":"Kokki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6347-4180","authenticated-orcid":false,"given":"Maarit","family":"Anttila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1501-7537","authenticated-orcid":false,"given":"Merja","family":"Kokki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,4,6]]},"reference":[{"key":"2502_CR1","unstructured":"Sj\u00f6holm M (2017) Sairaaloiden ja sairaanhoitopiirien tammi-joulukuu. Available at: https:\/\/www.kuntaliitto.fi\/sites\/default\/files\/media\/file\/Sairaaloiden%20ja%20sairaanhoitopiirien%20tammi-joulukuu%202017.pdf. Accessed 5 May 2021"},{"key":"2502_CR2","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1001\/jamasurg.2016.4952","volume":"152","author":"O Ljungqvist","year":"2017","unstructured":"Ljungqvist O, Scott M, Fearon KC (2017) Enhanced recovery after surgery: a review. JAMA Surg 152:292\u2013298. https:\/\/doi.org\/10.1001\/jamasurg.2016.4952","journal-title":"JAMA Surg"},{"key":"2502_CR3","unstructured":"Health at a glance (2019) OECD indicators. Available at: https:\/\/www.oecd-ilibrary.org\/social-issues-migration-health\/health-at-a-glance-2019_4dd50c09-en. Accessed 16 Apr 2021"},{"key":"2502_CR4","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1002\/bjs5.50267","volume":"4","author":"U-M Ruohoaho","year":"2020","unstructured":"Ruohoaho U-M, Toroi P, Hirvonen J, Aaltomaa S, Kokki H, Kokki M (2020) Implementation of a 23-h surgery model in a tertiary care hospital: a safe and feasible model with high patient satisfaction. BJS Open 4:391\u2013399. https:\/\/doi.org\/10.1002\/bjs5.50267","journal-title":"BJS Open"},{"key":"2502_CR5","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1002\/bjs5.50267","volume":"12","author":"U-M Ruohoaho","year":"2020","unstructured":"Ruohoaho U-M, Kokki M, Hirvonen J, Joukainen S, Aaltomaa S, Fraunberg M, Leinonen V, Reijula J (2020) Value stream map assessment of the extended day: 23h surgery model. Intell Build Int 12:17\u201331. https:\/\/doi.org\/10.1002\/bjs5.50267","journal-title":"Intelligent Buildings International"},{"key":"2502_CR6","doi-asserted-by":"publisher","first-page":"e014842","DOI":"10.1136\/bmjopen-2016-014842","volume":"7","author":"MJ Horstman","year":"2017","unstructured":"Horstman MJ, Mills WL, Herman LI et al (2017) Patient experience with discharge instructions in postdischarge recovery: a qualitative study. BMJ Open 7:e014842. https:\/\/doi.org\/10.1136\/bmjopen-2016-014842","journal-title":"BMJ Open"},{"key":"2502_CR7","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1111\/jocn.15057","volume":"29","author":"E Kang","year":"2020","unstructured":"Kang E, Gillespie BM, Tobiano G et al (2020) General surgical patients\u2019 experience of hospital discharge education: a qualitative study. J Clin Nurs 29:e1\u2013e10. https:\/\/doi.org\/10.1111\/jocn.15057","journal-title":"J Clin Nurs"},{"key":"2502_CR8","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1023\/a:1008793223756","volume":"21","author":"K Sepponen","year":"1999","unstructured":"Sepponen K, Kokki H, Ahonen R (1999) Training of medical staff positively influences postoperative pain management at home in children. Pharm World Sci 21:168\u2013172. https:\/\/doi.org\/10.1023\/a:1008793223756","journal-title":"Pharm World Sci"},{"key":"2502_CR9","unstructured":"ASA (2021) physical status classification system. Available at: https:\/\/www.asahq.org\/standards-and-guidelines\/asa-physical-status-classification-system. Accessed 15 May 2021"},{"key":"2502_CR10","unstructured":"Alho H, Eskola K, Aalto M. Treatment of alcohol abuse (2015) current care guidelines. Working group set up by the Finnish Medical Society Duodecim and the Finnish Addiction Medicine affiliated Society. Helsinki: The Finnish Medical Society Duodecim, 2015. Available at: https:\/\/www.kaypahoito.fi. Accessed May 5 2021"},{"key":"2502_CR11","unstructured":"Review of the Friends and Family Test\u00a0(2014) Available at: https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2014\/07\/fft-rev1.pdf. Accessed 15 Apr 2021"},{"key":"2502_CR12","unstructured":"NHS (2022) England Friends and family test available at: https:\/\/www.england.nhs.uk\/fft\/. Accessed March 2, 2022"},{"key":"2502_CR13","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1177\/1753193418819686","volume":"44","author":"P Stirling","year":"2019","unstructured":"Stirling P, Jenkins PJ, Clement ND, Duckworth AD, McEachan JE (2019) Net Promoter Scores with Friends and Family Test after four hand surgery procedures. J Hand Surg Eur 44:290\u2013295. https:\/\/doi.org\/10.1177\/1753193418819686","journal-title":"J Hand Surg Eur"},{"key":"2502_CR14","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/s12871-018-0505-9","volume":"18","author":"C Chiu","year":"2018","unstructured":"Chiu C, Aleshi P, Esserman LJ, Inglis-Arkell C, Yap E, Whitlock EL, Harbell W (2018) Improved analgesia and reduced post-operative nausea and vomiting after implementation of an enhanced recovery after surgery (ERAS) pathway for total mastectomy. BMC Anesthesiol 18:41. https:\/\/doi.org\/10.1186\/s12871-018-0505-9","journal-title":"BMC Anesthesiol"},{"key":"2502_CR15","doi-asserted-by":"publisher","first-page":"1127","DOI":"10.1097\/SLA.0000000000003621","volume":"273","author":"R Berkowitz","year":"2021","unstructured":"Berkowitz R, Vu J, Brummett C, Waljee J, Englesbe M, Howard R (2021) The impact of complications and pain on patient satisfaction. Ann Surg 273:1127\u20131134. https:\/\/doi.org\/10.1097\/SLA.0000000000003621","journal-title":"Ann Surg"},{"key":"2502_CR16","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1245\/s10434-019-07748-3","volume":"27","author":"JI Billig","year":"2020","unstructured":"Billig JI, Sears ED, Travis BN, Waljee JF (2020) Patient-reported outcomes: understanding surgical efficacy and quality from the patient\u2019s perspective. Ann Surg Oncol 27:56\u201364. https:\/\/doi.org\/10.1245\/s10434-019-07748-3","journal-title":"Ann Surg Oncol"},{"key":"2502_CR17","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1002\/bjs.9324","volume":"101","author":"A Neville","year":"2014","unstructured":"Neville A, Lee L, Antonescu I, Mayo NE, Vassiliou MC, Fried GM, Feldman LS (2014) Systematic review of outcomes used to evaluate enhanced recovery after surgery. BJS 101:159\u2013171. https:\/\/doi.org\/10.1002\/bjs.9324","journal-title":"BJS"},{"key":"2502_CR18","doi-asserted-by":"publisher","first-page":"856","DOI":"10.1053\/j.semtcvs.2019.05.030","volume":"31","author":"RL Medbery","year":"2019","unstructured":"Medbery RL, Fernandez FG, Khullar OV (2019) Patient-reported outcomes: time to integrate into outcomes reporting? Semin Thorac Cardiovasc Surg 31:856\u2013860. https:\/\/doi.org\/10.1053\/j.semtcvs.2019.05.030","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2502_CR19","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1097\/00000539-200007000-00019","volume":"91","author":"SL Hogue","year":"2000","unstructured":"Hogue SL, Reese PR, Colopy M, Fleisher LA, Tuman KJ, Twersky RS, Warner DS, Jamerson B (2000) Assessing a tool to measure patient functional ability after outpatient surgery. Anesth Analg 91:97\u2013106. https:\/\/doi.org\/10.1097\/00000539-200007000-00019","journal-title":"Anesth Analg"},{"key":"2502_CR20","doi-asserted-by":"publisher","first-page":"1921","DOI":"10.1016\/S0140-6736(03)14966-5","volume":"362","author":"H Kehlet","year":"2003","unstructured":"Kehlet H, Dahl JB (2003) Anaesthesia, surgery, and challenges in postoperative recovery. Lancet 362:1921\u20131928. https:\/\/doi.org\/10.1016\/S0140-6736(03)14966-5","journal-title":"Lancet"},{"key":"2502_CR21","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1097\/ACO.0b013e32834c3916","volume":"24","author":"J Jakobsson","year":"2011","unstructured":"Jakobsson J (2011) Assessing recovery after ambulatory anaesthesia, measures of resumption of activities of daily living. Curr Opin Anaesthesiol 24:601\u2013604. https:\/\/doi.org\/10.1097\/ACO.0b013e32834c3916","journal-title":"Curr Opin Anaesthesiol"},{"key":"2502_CR22","doi-asserted-by":"publisher","first-page":"1123","DOI":"10.1097\/00000542-200010000-00038","volume":"93","author":"FM Perkins","year":"2000","unstructured":"Perkins FM, Kehlet H (2000) Chronic pain as an outcome of surgery. A Rev Predict Factors Anesthesiol 93:1123\u20131133. https:\/\/doi.org\/10.1097\/00000542-200010000-00038","journal-title":"A Rev Predict Factors Anesthesiol"},{"key":"2502_CR23","doi-asserted-by":"publisher","first-page":"1440","DOI":"10.1245\/s10434-015-5004-3","volume":"23","author":"S Narayanan","year":"2016","unstructured":"Narayanan S, Arumugam D, Mennona S, Wang M, Davidov T (2016) An evaluation of postoperative complications and cost after short-stay thyroid operations. Ann Surg Oncol 23:1440\u20135. https:\/\/doi.org\/10.1245\/s10434-015-5004-3","journal-title":"Ann Surg Oncol"},{"key":"2502_CR24","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.yasu.2014.05.009","volume":"48","author":"DJ Lucas","year":"2014","unstructured":"Lucas DJ, Pawlik TM (2014) Readmission after surgery. Adv Surg 48:185\u2013199. https:\/\/doi.org\/10.1016\/j.yasu.2014.05.009","journal-title":"Adv Surg"},{"key":"2502_CR25","unstructured":"https:\/\/www.terveyskyla.fi\/en\/open. Accessed May 5 2021"},{"key":"2502_CR26","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1001\/jamasurg.2017.1519","volume":"152","author":"V Sun","year":"2017","unstructured":"Sun V, Dumitra S, Ruel N, Lee B, Melstrom L, Melstrom K et al (2017) Wireless monitoring program of patient-centered outcomes and recovery before and after major abdominal cancer surgery. JAMA Surg 152:852\u2013859. https:\/\/doi.org\/10.1001\/jamasurg.2017.1519","journal-title":"JAMA Surg"},{"key":"2502_CR27","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/j.jclinepi.2013.08.015","volume":"67","author":"J McCambridge","year":"2014","unstructured":"McCambridge J, Witton J, Elbourne DR (2014) Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. J Clin Epidemiol 67:267\u201377. https:\/\/doi.org\/10.1016\/j.jclinepi.2013.08.015","journal-title":"J Clin Epidemiol"}],"container-title":["Langenbeck's Archives of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-022-02502-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00423-022-02502-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-022-02502-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T02:09:09Z","timestamp":1661306949000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00423-022-02502-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,6]]},"references-count":27,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022,8]]}},"alternative-id":["2502"],"URL":"https:\/\/doi.org\/10.1007\/s00423-022-02502-y","relation":{},"ISSN":["1435-2451"],"issn-type":[{"value":"1435-2451","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,6]]},"assertion":[{"value":"27 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 March 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 April 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}