BACKGROUND Days at home after surgery is a promising new patient-centred outcome metric that measures time spent outside of healthcare institutions and mortality. The aim of this scoping review was to synthesize the use of days at home in perioperative research and evaluate how it has been termed, defined, and validated, with a view to inform future use. METHODS The search was run on MEDLINE, Embase, and Scopus on 30 March 2023 to capture all perioperative research where days at home or equivalent was measured. Days at home was defined as any outcome where time spent outside of hospitals and/or healthcare institutions was calculated. RESULTS A total of 78 articles were included. Days at home has been increasingly used, with most studies published in 2022 (35, 45%). Days at home has been applied in multiple study design types, with varying terminology applied. There is variability in how days at home has been defined, with variation in measures of healthcare utilization incorporated across studies. Poor reporting was noted, with 14 studies (18%) not defining how days at home was operationalized and 18 studies (23%) not reporting how death was handled. Construct and criterion validity were demonstrated across seven validation studies in different surgical populations. CONCLUSION Days at home after surgery is a robust, flexible, and validated outcome measure that is being increasingly used as a patient-centred metric after surgery. With growing use, there is also growing variability in terms used, definitions applied, and reporting standards. This review summarizes these findings to work towards coordinating and standardizing the use of days at home after surgery as a patient-centred policy and research tool.

中文翻译：

---

手术后在家的天数作为围手术期结果：范围审查和用于卫生服务研究的建议。


背景 手术后在家的天数是一个很有前途的以患者为中心的新结果指标，用于衡量在医疗机构之外花费的时间和死亡率。本范围综述的目的是综合围手术期研究中在家天数的使用，并评估其名称、定义和验证方式，以期为未来的使用提供信息。方法 2023 年 3 月 30 日在 MEDLINE、Embase 和 Scopus 上进行了检索，以捕获所有测量在家天数或同等天数的围手术期研究。在家天数被定义为计算在医院和/或医疗机构之外度过的时间的任何结局。结果 共纳入 78 篇文献。在家的天数越来越多地被使用，大多数研究发表于 2022 年 （35， 45%）。在家的天数已应用于多种研究设计类型，应用了不同的术语。在家天数的定义存在差异，不同研究中纳入的医疗保健利用指标存在差异。报告质量不佳，14 项研究 （18%） 未定义在家天数的运作方式，18 项研究 （23%） 未报告死亡的处理方式。在不同手术人群的 7 项验证研究中证明了结构和标准效度。结论 手术后在家的天数是一种稳健、灵活且经过验证的结果测量方法，越来越多地被用作术后以患者为中心的指标。随着使用量的增加，使用的术语、应用的定义和报告标准也越来越多样化。本综述总结了这些发现，以努力协调和标准化术后在家办公天数作为以患者为中心的政策和研究工具的使用。