scholarly journals Anesthetic dreaming, anesthesia awareness and patient satisfaction after deep sedation with propofol target controlled infusion: A prospective cohort study of patients undergoing day case breast surgery

Oncotarget ◽  
2017 ◽  
Vol 8 (45) ◽  
pp. 79248-79256 ◽  
Author(s):  
Marco Cascella ◽  
Roberta Fusco ◽  
Domenico Caliendo ◽  
Vincenza Granata ◽  
Domenico Carbone ◽  
...  
Keyword(s):  
Cohort Study ◽  
Patient Satisfaction ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Breast Surgery ◽  
Deep Sedation ◽  
Day Case ◽  
Target Controlled Infusion ◽  
Anesthesia Awareness

A prospective cohort study of microvascular decompression and Gamma Knife surgery in patients with trigeminal neuralgia

2008 ◽  
Vol 109 (Supplement) ◽  
pp. 160-172 ◽  
Author(s):  
Mark E. Linskey ◽  
Vaneerat Ratanatharathorn ◽  
Jose Peñagaricano
Keyword(s):  
Cohort Study ◽  
Patient Satisfaction ◽  
Trigeminal Neuralgia ◽  
Gamma Knife ◽  
Prospective Cohort Study ◽  
Microvascular Decompression ◽  
Prospective Cohort ◽  
Gamma Knife Surgery ◽  
Free Status

Object The aim of this study was to analyze 1 surgeon's 4-year experience with microvascular decompression ([MVD], 36 patients) and Gamma Knife surgery ([GKS], 44 patients) in 80 consecutive patients with trigeminal neuralgia (TN). Methods The authors conducted a prospective cohort study from March 1999 to December 2003 with an independent clinical assessment of the results and serial patient satisfaction surveys. All patients completed a 2004 patient satisfaction survey (0.5–5 years postoperative), and 70% of surviving patients completed the same survey in 2007 (3.9–8.5 years postoperative). Follow-up was undertaken in 100% of the patients (mean 3.4 ± 2.14 years, range 0.17–8.5 years). Results Respective initial and latest follow-up raw pain-free rates were 100 and 80.6% for MVD and 77.3 and 45.5% for GKS. The median time to the maximal benefit after GKS was 4 weeks (range 1 week–6 months). Respective initial, 2-, and 5-year actuarial pain-free rates were 100, 88, and 80% for MVD and 78, 50, and 33% for GKS (p = 0.0002). The relative risk of losing a pain-free status by 5 years posttreatment was 3.35 for patients in the GKS group compared with the MVD group. Initial and 5-year actuarial rates for ≥ 50% pain relief after GKS were 100 and 80%, respectively. The respective rates of permanent mild and severe sensory loss were 5.6 and 0% for patients in the MVD group, as opposed to 6.8 and 2.3% for patients in the GKS group. Anesthesia dolorosa did not occur during the study. Both procedures enjoyed a high degree of early patient satisfaction (95–100%). Microvascular decompression maintained the same rate of patient satisfaction, but satisfaction with GKS decreased to 75% as pain control waned. Twenty-three patients (29%) died of causes unrelated to the TN or the surgical intervention during the follow-up, and their pain status was known at the time of death. Statistically significant intergroup differences for the MVD versus GKS cohorts were age (median 54 years, range 36–70 years vs median 74 years, range 48–92 years, respectively), preoperative symptom duration (median 2.58 years, range 0.33–15 years vs median 7.5, range 0.6–40 years, respectively), and the presence of major comorbidities (2.8 vs 58.3%, respectively). Conclusions In this nonrandomized prospective cohort trial of selected patients with potentially relevant intergroup differences, MVD was significantly superior to GKS in achieving and maintaining a pain-free status in those with TN and provided similar early and superior longer-term patient satisfaction rates compared with those for GKS. The complications of wound cerebrospinal fluid leakage, hearing loss, and persistent diplopia (1 case each in the MVD group) were not seen after GKS.

scholarly journals Patient Satisfaction with Neurosurgery Telemedicine Visits During the Coronavirus Disease 2019 Pandemic: A Prospective Cohort Study

2021 ◽  
Vol 145 ◽  
pp. e184-e191
Author(s):  
Elise J. Yoon ◽  
Doris Tong ◽  
Gustavo M. Anton ◽  
Jacob M. Jasinski ◽  
Chad F. Claus ◽  
...  
Keyword(s):  
Cohort Study ◽  
Patient Satisfaction ◽  
Prospective Cohort Study ◽  
Prospective Cohort

213. Multicenter prospective cohort study on patient satisfaction after incobotulinumtoxinA injection in cervical dystonia

Toxicon ◽  
2015 ◽  
Vol 93 ◽  
pp. S66-S67
Author(s):  
Manuela Zardoni ◽  
Cristina Bana ◽  
Caterina Nascimbene ◽  
Claudio Mariani ◽  
Camillo Foresti ◽  
...  
Keyword(s):  
Cohort Study ◽  
Patient Satisfaction ◽  
Prospective Cohort Study ◽  
Cervical Dystonia ◽  
Prospective Cohort ◽  
Multicenter Prospective Cohort Study ◽  
Multicenter Prospective Cohort

scholarly journals Effects of Contact Precautions on Patient Perception of Care and Satisfaction: A Prospective Cohort Study

2013 ◽  
Vol 34 (10) ◽  
pp. 1087-1093 ◽  
Author(s):  
Preeti Mehrotra ◽  
Lindsay Croft ◽  
Hannah R. Day ◽  
Eli N. Perencevich ◽  
Lisa Pineles ◽  
...  
Keyword(s):  
Cohort Study ◽  
Patient Satisfaction ◽  
Confidence Interval ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Odds Ratio ◽  
Coordination Of Care ◽  
Primary Analysis ◽  
Contact Precautions ◽  
Standardized Interview

Objective.Contact precautions decrease healthcare worker-patient contact and may impact patient satisfaction. To determine the association between contact precautions and patient satisfaction, we used a standardized interview for perceived issues with care.Design.Prospective cohort study of inpatients, evaluated at admission and on hospital days 3, 7, and 14 (until discharged). At each point, patients underwent a standardized interview to identify perceived problems with care. After discharge, the standardized interview and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey were administered by telephone. Responses were recorded, transcribed, and coded by 2 physician reviewers.Participants.A total of 528 medical or surgical patients not admitted to the intensive care unit.Results.A total of 528 patients were included in the primary analysis, of whom 104 (20%) perceived some issue with their care. On multivariable logistic regression, contact precautions were independently associated with a greater number of perceived concerns with care (odds ratio, 2.05 [95% confidence interval, 1.31–3.21]; P<.01), including poor coordination of care (P = .02) and a lack of respect for patient needs and preferences (P = .001). Eighty-eight patients were included in the secondary analysis of HCAHPS. Patients under contact precautions did not have different HCAHPS scores than those not under contact precautions (odds ratio, 1.79 [95% confidence interval, 0.64–5.00]; P = .27).Conclusions.Patients under contact precautions were more likely to perceive problems with their care, especially poor coordination of care and a lack of respect for patient preferences.

scholarly journals The role of pectoral nerve blocks in a day-case mastectomy service: A prospective cohort study

2019 ◽  
Vol 48 ◽  
pp. 65-68
Author(s):  
Ashleigh Bell ◽  
Oroog Ali ◽  
Amy Robinson ◽  
Amitabh Aggarwal ◽  
Michael Blundell ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Day Case ◽  
Nerve Blocks ◽  
Pectoral Nerve
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