Background and goal of the study
A major disadvantage of the ambulatory setting is related to the absence of postoperative surveillance by professionals. The latter implicates that the individual patient has to assess, without any support, if his/her Quality of Recovery (QOR) is normal or not. Unfortunately, there is rather limited information on procedure-specific QOR after day surgery in a more protracted perspective. It is of major importance to study QOR profiles after different types of day surgery. This knowledge would allow to discriminate between a normal and pathological health trajectory. Therefore, we aimed to assess and compare 4-week QOR profiles of 4 complex day surgery procedures.
Methods
Two hundred patients undergoing elective hemorrhoid surgery (n=50), unilateral inguinal hernia repair (n=50), arthroscopic shoulder (n=50) and knee surgery (n=50) in day setting were enrolled. QOR was measured by the Functional Recovery Index (FRI),  at baseline and at days 1, 2, 3, 4, 7, 14 and 28 postoperatively by telephone call. The FRI is a validated, questionnaire-based instrument specifically designed to assess post-discharge recovery after day surgery in three domains: pain and social activity, lower limb activity and general physical activity.
Results and Discussion
FRI scores per type of surgery are presented in table 1. Compared to baseline, all 4 types of day surgery were associated with a better mean FRI 4 weeks after surgery. Worst FRI scores on the 28th postoperative day were noted after arthroscopic shoulder surgery.
Conclusion
Our results suggest that each type of day surgery has its own unique QOR trajectory. New strategies for pain therapy at home should be developed, in particular after ambulatory arthroscopic shoulder surgery and hemorrhoid surgery.

07 / One-month quality of the recovery trajectory after painful day surgery: a prospective cohort study