Measurement of satisfaction with anesthetic recovery in a high-complexity postanesthetic care unit: a patient perspective

  • Juan Pablo Vivas a. Hospital Universitario de La Samaritana, Bogotá, Colombia. b. Instituto de Ortopedia Infantil Roosevelt, Bogotá, Colombia.
  • Ernesto Reyes Hospital Universitario de La Samaritana, Bogotá, Colombia.
  • Fernando Ríos Hospital Universitario de La Samaritana, Bogotá, Colombia.
  • Rafael Lozano Hospital Universitario de La Samaritana, Bogotá, Colombia.
  • Jairo Antonio Pérez Hospital Universitario de La Samaritana, Bogotá, Colombia.
  • Merideidy Plazas Universidad de la Sabana, Chía, Colombia.
Keywords: Anesthesia, Pain, Epidemiology, Patients, Patient Satisfaction

Abstract

Introduction:

Quality assessment of anesthetic recovery requires patient-centered measurements such as satisfaction. In Colombia, a validated Quality of Recovery Scale (QRS), which includes the perspective of the user, was applied in the Post-anaesthetic Care Unit of Hospital Universitario de la Samaritana (HUS) in the city of Bogotá.

Objectives:

To determine patient satisfaction with postoperative care for 11 specialties at HUS as a quality indicator of postanesthetic recovery, and to assess the internal consistencyor validity of the QRS applied in a high-complexity hospital.

Materials and methods:

Cross-sectional descriptive study which included patients of the HUS postanesthetic care unit. A population size of 379 patients was estimated, with a final sample of 154. Following the application of the QRS, bivariate analyses were performed using control variables and clinical characteristics. In addition, internal consistency was analyzed using Chronbach's Alpha and Spearman's Rho.

Results:

Overall, 154 patients were analyzed, 48.7% females and 51.3% males. Median age was 52 years (interquartile range: 35-64); 91.56% belong to the subsidized health insurance regime, and 8.44% to the contributive regime. Of the total number of patients surveyed, 7.14% are satisfied with the quality of recovery (QRS> 56). Internal consistency is high (Cronbach's Alpha=0.854) and interitem correlation is average (Rho=0.295).

Conclusion:

The test is highly reliable, allowing to identify the strengths and weaknesses of the postanesthetic service at HUS. This input contributes to decision-making and to the selection of strategies for improving the quality of recovery in high-complexity patients.

References

1. World Health Organization. Maternal, newborn, child and adolescent health - Quality of Care. [Internet]. 2017. [Cited 2018 Jul 18]. Available at: http://www.who.int/maternal_child_adolescent/topics/quality-of-care/definition/en/.

2. Eslava-Schmalbach J, Gaitán-Duarte H, Gómez-Restrepo C. Escala para medir la calidad de la recuperación postanestésica desde la perspectiva del usuario. Rev Salud publica 2006;8: 52-62.

3. World Health OrganizationQuality of care: a process for making strategic choices in health systems. J Am Med Assoc 2006;267: 1-50.

4. Gupta A, Daigle S, Mojica J, et al. Patient perception of pain care in hospitals in the United States. J Pain Res 2009;2:157-164.

5. Alkhoury F, Burnweit C, Malvezzi L, et al. A prospective study of safety and satisfaction with same-day discharge after laparo-scopic appendectomy for acute appendicitis. J Pediatr Surg 2012;47:313-316.

6. Auquier P, Pernoud N, Bruder N, et al. Development and validation of a perioperative satisfaction questionnaire in regional anesthesia. Anesthesiology 2005;102:116-123.

7. Gornall BF, Myles PS, Smith CL, et al. Measurement of quality of recovery using the QoR-40: a quantitative systematic review. Br J Anaesth 2013;111:161-169.

8. Herrera FJ, Wong J, Chung F. A systematic review of postoperative recovery outcomes measurements after ambulatory surgery. Anesth Analg 2007;105:63-69.

9. Kluivers KB, Riphagen I, Vierhout ME, et al. Systematic review on recovery specific quality-of-life instruments. Surgery 2008;143: 206-215.

10. Stark P, Myles P, Burke J. Development and psychometric evaluation of a postoperative quality of recovery score: the QoR-15. Anesthesiology 2013;118:1332-1340.

11. Cadavid A, Mendoza J, Gómez N, et al. Prevalencia de dolor agudo posoperatorio y calidad de la recuperación en el Hospital Universitario Sant Vicente de Paul, Medellín, Colombia, 2007. Red Rev Científicas América Lat 2009;22:11-15.

12. Cadavid Puentes AM, Mendoza Villa JM, Gómez Usuga ND, et al. Prevalence of acute postoperative pain and quality of recovery at a university-affiliated hospital in Medellín, Colombia. Iatreia 2007;22:11-15.

13. Delgado MM, López JA, Granja E, et al. Eficacia en la asociación de bupivacaína más neostigmina en bloqueo subaracnoideo. Rev Espec Médico-Quirurgicas 2004;9:56-61.

14. Castiñeiras P, Maceiras R, Gauna M, et al. Recovery and psychomotor function of patients after prolonged anesthesia with desflurane, sevoflurane or isoflurane. Rev Esp Anestesiol 2000;47:386-392.

15. Bettelli G. Anaesthesia for the elderly outpatient: preoperative assessment and evaluation, anaesthetic technique and postoperative pain management. Curr Opin Anaesthesiol 2010;23: 726-731.

16. Ekstein M, Gavish D, Ezri T, et al. Monitored anaesthesia care in the elderly. Drugs Aging 2008;25:477-500.

17 Barnett S, Alagar R, Grocott M, et al. Patient-satisfaction measures in anesthesia. Qualitative systematic review. Anesthesiology 2013;119:452-478.

18. Heidegger T, Saal D, Nuebling M. Patient satisfaction with anaesthesia care: what is patient satisfaction, how should it be measured, and what is the evidence for assuring high patient satisfaction? Best Pract Res Clin Anaesthesiol 2006;20: 331-346.

19. Wu CL, Naqibuddin M, Fleisher LA. Measurement of patient satisfaction as an outcome of regional anesthesia and analgesia: a systematic review. Reg Anesth Pain Med 2001;26:196-208.

20 Gempeler F, Avellaneda MV. Evaluation of patient satisfaction and recovery time following different anesthetic techniques at the San Ignacio University Hospital. Rev Colomb Anestesiol 2010;38:178-202.

21. Wu C, Rowlingson A, Partin A, et al. Correlation of postoperative pain to quality of recovery in the immediate postoperative period. Reg Anesth Pain Med 2005;30:516-522.

22. Galí J, Puig C, Carrasco G, et al. Experiencia en el tratamiento multidisciplinar del dolor agudo postoperatorio. Rev Calid Asist 2004;19:296-303.

23. Jamison RN, Edwards RR. Integrating pain management in clinical practice. J Clin Psychol Med Settings 2012;19:49-64.

24. Hernández J, Osorio R. del Rosario CEU. Evaluación del paciente con dolor. Medicina del Dolor, Bogotá D.C.:2005;1-426.

25. Organización de las Naciones Unidas. Noticias ONU - UN News [Internet]. 2004. [Cited 2018 May 18]. Available at: https://news.un.org/es/story/2004/10/1043101.
How to Cite
1.
Vivas JP, Reyes E, Ríos F, Lozano R, Pérez JA, Plazas M. Measurement of satisfaction with anesthetic recovery in a high-complexity postanesthetic care unit: a patient perspective. Colomb. J. Anesthesiol. [Internet]. 2018 Oct. 1 [cited 2024 Mar. 29];46(4):279-85. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/388

Downloads

Download data is not yet available.
Published
2018-10-01
How to Cite
1.
Vivas JP, Reyes E, Ríos F, Lozano R, Pérez JA, Plazas M. Measurement of satisfaction with anesthetic recovery in a high-complexity postanesthetic care unit: a patient perspective. Colomb. J. Anesthesiol. [Internet]. 2018 Oct. 1 [cited 2024 Mar. 29];46(4):279-85. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/388
Section
Original

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code

Some similar items: