(180) Patient Satisfaction, Outcomes and Experience Measures Amongst Patients Receiving Propofol: A Patient Reported Outcomes Measure Study

Publication Number: 1225

Background: Patients’ satisfaction has a vital role improving quality in health services, especially in anaesthesia.

Objectives: To determine the overall patient satisfaction, outcomes, and experience with propofol during surgery.

Methods: A prospective questionnaire based observational study was carried for six months in pre & post operative holding theaters in a large tertiary care teaching hospital. Patients of any gender above 18 years undergoing surgery with propofol were recruited with consent. Demographic details were collected perioperatively along with two questionnaires- the Bauer patient satisfaction questionnaire and the modified Brice questionnaire at 24th, and 48th hour post-surgery to determine the perceptive outcomes. The data was assessed categorically and represented as n (%).

Results: A total of 246 subjects {[78 (31.70%) females] & [168 (68.30%) males]} were recruited who completed both the questionnaires, of which majority of the patients were of age 18-30 years [60 (24.39%)]. Majority of subjects [52.03% (n= 128)] were found to have an American Society of Anaesthesiologists (ASA) physical status of Grade II. Surgery site pain [37.57% (31.57% moderate & 5.69% severe)] was the most frequently cited discomfort despite analgesic management, followed by thirst [23.30% (21.95% moderate & 1.35% severe)] and pain at the site of anaesthesia injection [20.86% (18.70% moderate & 2.17% severe)] at the post 24 & 48hour interval. Furthermore, pain was perceived to be the worst thing in operation memory [27 (10.97%)], followed by anxiety [6 (2.43%)]. Despite these perceptions, 90.78% of patients were very satisfied with the overall anaesthesia related care received. The incidence of accidental awareness during general anaesthesia (AAGA) was found to be 5 [(2.04%)].

Conclusions: Discomfort after surgery is common, despite the anaesthesia care. Patient reported outcomes, experience, satisfaction, and all related domains provide a comprehensive assessment of the quality of anaesthesia care. Clinical pharmacist can address such drug related issues to further improve patient satisfaction.