Patient Satisfaction With Perioperative Anesthetic Care

Clalit Health Services

Status: Completed

Conditions: Anesthesia

Treatments: Other: Pre operative evaluation and anesthesia administration by the same anesthesiologist

Study type: Observational

Funder types: Other

Identifiers

NCT04734119

0226-18-MMC

Details and patient eligibility

About

The doctor-patient relationship, medical competence and patient expectations influence patient satisfaction with anesthesia. Preoperatively all patients are routinely assessed by an anesthesiologist. However, in many centers, the anesthesiologist who performs the preoperative evaluation will not necessarily be the anesthesiologist who provides the intraoperative service. This study evaluated the effect of this practice on patient satisfaction, level of confidence and anxiety among adult patients undergoing elective surgery.

Full description

Background: The doctor-patient relationship, medical competence and patient expectations influence patient satisfaction with anesthesia. Preoperatively all patients are routinely assessed by an anesthesiologist. However, in many centers, the anesthesiologist who performs the preoperative evaluation will not necessarily be the anesthesiologist who provides the intraoperative service. This study evaluated the effect of this practice on patient satisfaction, level of confidence and anxiety among adult patients undergoing elective surgery.

Methods: 100 patients scheduled for elective surgery under general anesthesia were randomly divided into 2 equal groups: In Group A patients were evaluated and anesthetized by the same anesthesiologist. In Group B the preoperative assessment and actual anesthesia was performed by two different anesthesiologists. On the first postoperative day all patients completed a questionnaire designed to evaluate their sense of preoperative security (confidence) and their overall satisfaction with the anesthetic experience.

Enrollment: 100 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients scheduled for elective surgery under general anesthesia
• Period- 12.2018-03.2019
• ASA score 1 to3
• Hebrew is the patient mother tongue
• The patient was pre-operatively evaluated by an anesthesiologist at least one day before surgery
• Duration of surgery is more than 1 hour
• The anesthesiologist has more than 2 years experience at work

Exclusion criteria

• The patient suffers from severe cognitive decline or severe psychiatric illness
• The patient is unable to answer the questionnaire by himself/herself
• The patient received pre-operative sedation

Trial design

100 participants in 2 patient groups

Group A- same anesthesiologist

Description:

In Group A patients were evaluated preoperatively and anesthetized by the same anesthesiologist.

Treatment:

Other: Pre operative evaluation and anesthesia administration by the same anesthesiologist

Group B- different anesthesiologist

Description:

In Group B the preoperative assessment and actual anesthesia was performed by two different anesthesiologists