Patient satisfaction following day surgery

doi:10.1016/j.jclinane.2008.08.016

Journal of Clinical Anesthesia

Volume 21, Issue 3, May 2009, Pages 200-205

https://doi.org/10.1016/j.jclinane.2008.08.016 Get rights and content

Abstract

Study Objective

To evaluate patient satisfaction at discharge and 30 days after day surgery, and to identify predictive factors of patient satisfaction.

Design

Observational, prospective study.

Setting

Day surgery unit of a university hospital.

Patients

251 consecutive patients, aged 43 ± 15 years (56.6% women), scheduled for day surgery.

Interventions

Patients were asked to answer a questionnaire.

Measurements

Patients' level of satisfaction was recorded in relation to different variables, using questions of demographics, logistics, and those relating to surgery.

Main Results

Over 95% of patients were satisfied with their care at both interviews; 74.5% of patients were completely satisfied at the discharge time; and only 62.4% had the same opinion 30 days after the surgery (P < 0.01). Postoperative pain control [odds ratio (OR) = 1.6], waiting time for surgery (OR = 1.4), and patient changing room conditions (OR = 1.3) were the most important factors influencing patient satisfaction at the time of discharge. Clinical outcome (OR = 3.2), clinical information (OR = 1.6), and postoperative pain control (OR = 1.3) were the main factors affecting patient satisfaction 30 days after surgery.

Conclusions

Overall satisfaction following day surgery was at least 95% at discharge and at 30 days. However, complete satisfaction was present only in 75% at discharge and decreased to 62% at 30 days. Clinical outcome was strongly related to patient satisfaction at 30 days after surgery. Factors directly controlled by anesthesiologists such as postoperative pain and information provided, also had a significant impact on patient satisfaction.

Introduction

Day surgery accounts for more than 50% of all elective surgery performed in many countries in North America, Europe, and Oceania [1]. Clinical, economic, and social advantages [2] associated with excellent safety and low morbidity rates [3], [4] have made day surgery popular in many countries. High levels of patient satisfaction have been achieved [5], [6], even when frequent and uncomfortable post-discharge symptoms were found [7], [8]. The aim of the present study was to prospectively assess patient satisfaction rates following day surgery: at the time of discharge and 30 days after surgery. A secondary goal was to identify any possible predictive factors of patient satisfaction.

Section snippets

Materials and methods

After receiving approval by the Hospital Geral Santo António Institutional Ethics Committee, we performed a prospective, observational study at the Day Surgery Unit (DSU) of Hospital Geral Santo António, Porto, Portugal, from December 2004 to March 2005. Written and verbal informed consent was obtained from all patients. Patients had to be over 15 years of age. Assessment was undertaken using anonymous questionnaires filled in by an interviewer who was a medical student. No health care

Results

A total of 251 consecutive patients who met the inclusion criteria were enrolled in the study. Patients were 43 ± 15 years old and 56.6% were women. All of the enrolled patients participated in the first interview. Demographic data are shown in Table 1. At 30 days after surgery, 30 patients (12%) could not be contacted by telephone. Anesthesia time was 51.6 ± 30.2 minutes and ranged from 5 to 185 minutes. Almost 60% of the patients had no more than 4 years of schooling.

For 84.1% (n = 221) of

Discussion

Our study found that over 95% of patients had some degree of satisfaction after surgery both at discharge and at 30 days (100% and 96.8% of pts, respectively). Similar studies have reported slightly lower levels of satisfaction. Bain et al. found an overall satisfaction rate of 85% among 3,438 day surgery patients in a multicentric Scottish survey [5]. Beverly Philip evaluated overall satisfaction in a questionnaire returned by 1,511 patients, in which 97% would choose day surgery again [6].

Our

Acknowledgment

The authors thank Dr. Pedro Amorim for his encouragement and helpful suggestions in the preparation of the present manuscript.

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View full text

Original contributionPatient satisfaction following day surgery☆

Abstract

Study Objective

Design

Setting

Patients

Interventions

Measurements

Main Results

Conclusions

Introduction

Section snippets

Materials and methods

Results

Discussion

Acknowledgment

Ambul Surg

J Clin Anesth

Br J Anaesth

Br J Anaesth

Eval Program Plan

The development of ambulatory surgery and future challenges

Complications associated with ambulatory surgery

JAMA

Major morbidity and mortality within 1 month of ambulatory surgery and anesthesia

JAMA

Day surgery in Scotland: patient satisfaction and outcomes

Qual Health Care

Adverse outcomes in ambulatory anesthesia

Can J Anaesth

Thirty percent of patients have moderate to severe pain 24 hr after ambulatory surgery: a survey of 5,703 patients

Can J Anaesth

Balancing cost and quality in day surgery

A survey of 800 patients' knowledge, attitudes and concerns regarding anesthesia

Anesth Analg

Patient satisfaction and post-operative demands on hospital and community services after day surgery

Br J Surg

Day surgery: a consumer survey

N Z Med J

Original contribution
Patient satisfaction following day surgery☆