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Patient preferences for desired post-anaesthesia outcomes - a comparison with medical provider perspective: A-40

Murphy, C.; Hearty, C.; Murray, M.; McCaul, C.

European Journal of Anaesthesiology: May 2005 - Volume 22 - Issue - p 11
Evidence Based Practice and Quality Assurance
Free

Department of Anaesthesia and Intensive Care, Waterford Regional Hospital, Waterford, Ireland

Background and Goal of Study: Intra-operative and post-operative adverse outcomes have been identified as the major causes of dissatisfaction with anesthesia. The aim of this study was to identify patient preferences for post-operative anaesthesia outcomes in our population.

Materials and Methods: 100 pre-operative adult patients were given standardized preoperative information about anaesthesia. Each patient was asked to prioritize 11 possible anesthesia outcomes using a relative value scale (willingness to pay out of a total of 100 Euro). Each outcome was described in simple language. Peri-operative management was at the discretion of the anaesthesia provider. 26 medical and paramedical staff members also completed the survey.

Results and Discussions: 100 patients (mean age 44.77 ± 18.01) responded. 87 were undergoing elective and 13 emergency surgery. Patient rankings (from highest to lowest avoidance priority) were; vomiting, pain, breathing tube sensation, nausea, disorientation, bladder fullness, sore throat, shivering, thirst, itch, drowsiness. Broad variation was seen. Staff rankings for perceived patient preferences were; pain, vomiting, nausea, breathing tube, bladder fullness, disorientation, shivering, thirst, drowsiness, sore throat and itch. Willingness to pay was similar except for nausea (Staff vs. Patient, €16.7 ± 12.4 vs. €8.7 ± 18.8, p = 0.008).

Conclusion(s): There is broad correlation between medical staff and patient perceptions of desired outcomes. Individualized approaches to patient care are mandated by the wide variation is patient preferences.

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Reference:

1 Macario A, Weinger M, Carney S, Kim A. Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesth Analg. 1999 Sep;89(3):652-8.
    © 2005 European Society of Anaesthesiology