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    Development and Validation of a Turkish Version of Obstetric Quality of Recovery-10
    (Aves, 2022) Kozanhan, Betul; Yildiz, Munise; Polat, Aysenur; Gunenc, Oguzhan; Tutar, Sami Mahmut; Iyisoy, Mehmet Sinan; Kulhan, Nur Gozde
    Objective: The 10-item Obstetric Quality-of-Recovery 10 scale is a validated patient-reported outcome questionnaire that measures the quality of recovery following delivery. This study aims to develop a Turkish version of the Obstetric Quality of Recovery 10 to evaluate its validity, reliability, and clinical feasibility. Methods: Term parturients who underwent vaginal delivery or elective caesarean delivery were asked to complete a Turkish version of Obstetric Quality-of-Recovery 10 scoring tool and EuroQol 5-dimension 3L scores (including a global health visual analogue scale) 24 hours after delivery. To validate the Obstetric Quality of Recovery 10-Turkish, we assessed validity, reliability, and clinical feasibility and compared it with the EQ-5D-3L questionnaires. Results: One hundred parturients completed the questionnaire in 24 hours (100% response rate). Obstetric Quality of Recovery 10-Turkish correlated highly with EQ-5D-3L score (r = -0.611) and global health visual analogue scale score (r = 0.652) at 24 hours and discriminated well between good versus poor recovery (global health visual analogue scale score >= 70 vs <70; median interquartile range were 86 [80-90] and 68 [59-75] (P <.001), respectively). Scores were similar for caesarean and vaginal deliveries, 83 (76-89) and 82.5 (69-90), respectively (P =.5). Twenty-four-hour Obstetric Quality of Recovery 10-Turkish scores did not correlate with any baseline demographic and clinical data parameters. Internal consistency was good (Cronbach's alpha = 0.87 and inter-item correlation = 0.41), and split-half reliability was very good (Spearman-Brown prophesy reliability estimate = 0.86). Test-retest reliability was excellent (intra-class correlation coefficient = 0.99). No floor or ceiling effects were demonstrated. Conclusion: The Obstetric Quality of Recovery 10-Turkish is a valid, reliable, and clinically feasible measure of inpatient postpartum recovery following caesarean and vaginal delivery modes.
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    Impact of preeclampsia on ventricular repolarization indices
    (Churchill Livingstone Inc Medical Publishers, 2021) Duran, Mustafa; Ziyrek, Murat; Sertdemir, Ahmet Lutfi; Gunenc, Oguzhan; Bardak, Omer
    Background: Because of cardiac hypertrophy and electrophysiological alterations associated with preeclampsia, worsening of preexisting arrhythmias or occurrence of de novo arrhythmias are common in patients with preeclampsia. Tp-e/QT and Tpe/QTc ratios are accepted as reliable indexes for predicting ventricular arrhythmias. In this study, we examined the impact of preeclampsia on ventricular repolarization indices in patients with preeclampsia by using the QT, QTc and Tp-e interval, Tp-e/QTratio, and Tp-e/QTc ratio. Methods: We analyzed electrocardiographic recordings of sixty pregnant women with preeclampsia and thirty age-matched healthy pregnant women. Women presenting with preeclampsia were divided into 2 groups and classified as early (gestational age < 34 weeks at clinical onset) or late (>= 34 weeks) onset preeclampsia. Ventricular repolarization indices were evaluated. Results: The QT and Tp-e intervals were found to be longer in patients with earlyonset preeclampsia compared to patients with late-onset preeclampsia and helthy pregnants (377.6 +/- 23 ms vs 374.3 +/- 15 ms, 362 +/- 15 ms & 82.6 +/- 9.4 ms vs 74.0 +/- 10.6 ms, 68.6 +/- 10 ms). In adition, Tp-e/QT and Tp-e/QTc ratio were significantly higher in this patient population compared to others (0.21 +/- 0.02 vs 0.19 +/- 0.02, 0.18 +/- 0.02 & 0.19 +/- 0.02 vs 0.16 +/- 0.02, 0.15 +/- 0,02, p < 0.05 respectively). Conclusion: Our data showed that preeclampsia has unfavorable effects on electrocardiographic indices of ventricular repolarization compared to healthy pregnant women. This effect is more prominent in patients with early-onset preeclampsia.