An assessment of the patient’s understanding and knowledge of the relevance of pre-anesthetic check-up

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Patients scheduled for elective surgery visiting a pre-anesthetic check-up (PAC) clinic (n=450). Intervention: 16-item questionnaire assessing knowledge of pre-anesthetic check-up (PAC). Primary outcome: Patient knowledge and awareness of the pre-anesthetic check-up (PAC) clinic and its purpose.

Q: What does this research mean for the field?

Among elective surgery patients in an urban tertiary care setting, only 21.2% understand the purpose of the pre-anesthetic check-up clinic and only 19.4% recognize that it involves surgical risk assessment. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

Unnati Asthana; Anshumali Anshumali; Shruti Sharma

doi:10.18231/j.pjms.2023.018

April 7, 2023Panacea Journal of Medical SciencesOpen Access

An assessment of the patient’s understanding and knowledge of the relevance of pre-anesthetic check-up

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Key result

Only ~21% of elective surgery patients understand the purpose of pre-anesthetic check-up clinics.

n=450

Why the study?

A detailed pre-anesthetic check-up is a critical prerequisite before surgery, as missing even a single history detail like a previous drug reaction can jeopardize patient safety. This study assessed patient understanding of the importance and components of the pre-anesthetic check-up among elective surgery patients in urban India.

Key Points

To assess patient understanding and knowledge regarding the importance and components of pre-anesthetic check-ups prior to elective surgery in a tertiary care hospital.
Enrolled 450 literate patients aged 18 to 60 years presenting for elective surgery over 3 months in an observational prospective study at a tertiary care hospital in urban India.
Administered a 16-item questionnaire in English or Hindi in the waiting area, awarding 1 mark for correct answers and 0 marks for incorrect or 'don't know' responses.
Evaluated correlations of knowledge scores with age, sex, literacy level, and previous clinic visits using unpaired t-tests and one-way analysis of variance in SPSS version 21.
Among the 450 patients, only 21.2% were aware of a pre-anesthetic clinic, 19.4% knew that risk assessment is conducted, and 54.6% did not understand the importance of preoperative optimization.
A desire to receive information about anesthesia prior to surgery was reported by 99.2% of participants.
Higher educational status and previous pre-anesthetic assessment experience were significantly directly related to knowledge of anesthesia, while gender showed no significant correlation.

Study Design

Type

Cross-Sectional (n=450)

Multicenter

No

Structured PICO

P

Population

450 literate adults aged 18-60 years (57.33% male) scheduled for elective surgery at an urban tertiary care hospital in India, surveyed over a 3-month period prior to their pre-anesthetic clinic visit.

E

Exposure

Pre-visit 16-item multiple-choice questionnaire in Hindi or English assessing patient understanding and knowledge of the pre-anesthetic check-up (PAC) and role of the anesthesiologist

O

Outcome

Patient understanding and knowledge of the importance of the pre-anesthetic check-up (PAC) clinic and its components (e.g., awareness of PAC clinic purpose and risk assessment)patient reported

Even among literate urban patients in India, there is poor awareness of the purpose of pre-anesthetic check-ups and the role of anesthesiologists, highlighting the need for better preoperative patient education and communication.

Limitations

Could not assess the knowledge of illiterate people as persons unable to read or understand English or Hindi were excluded from the study
Conducted in a single urban tertiary care hospital
Illiterate patients unable to read or understand the questionnaire in English or Hindi were excluded
Single-center study conducted only in an urban population

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Implication

Low awareness of pre-anesthetic evaluation may support targeted education; leaves open effects on perioperative outcomes.

Abstract

Introduction: Pre anesthetic checkup is an important prerequisite of any surgery. Therefore the importance of a detailed pre anesthetic check-up including a thorough history and clinical examination should be known to all the patients undergoing any kind of surgery. It can be gauged by the fact that missing out even a single event like a previous drug reaction may jeopardize a precious life.The aim of our study was to assess the understanding of the importance of a pre-anesthetic check-up (PAC) and its components amongst the population coming for elective surgeries in a tertiary care hospital in Urban India.

Discussion

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Cite This Study

Asthana et al. (2023) conducted a cross-sectional in Patients scheduled for elective surgery visiting a pre-anesthetic check-up (PAC) clinic (n=450). 16-item questionnaire assessing knowledge of pre-anesthetic check-up (PAC) was evaluated on Patient knowledge and awareness of the pre-anesthetic check-up (PAC) clinic and its purpose. Pre-anesthetic check-up questionnaire assessment revealed that only 21.2% of elective surgery patients knew the clinic's purpose and only 19.4% were aware it involved surgical risk assessment.

synapsesocial.com/papers/6a8c295722230c1854fb5d4f https://doi.org/10.18231/j.pjms.2023.018

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An assessment of the patient’s understanding and knowledge of the relevance of pre-anesthetic check-up

Key Points

Study Design

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

An assessment of the patient’s understanding and knowledge of the relevance of pre-anesthetic check-up

Key Points

Study Design

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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