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A Retrospective survey of patient experience following elective/emergency AAA repair

Benjamin Tan Royal Derby Hospital. A Retrospective survey of patient experience following elective/emergency AAA repair. Consort diagram. Dec 2010 – Nov 2011. 6 Died. 67 p atients identified. 1 Moved Abroad. 60 patients sent questionnaires. 51 replies. 1 unusable.

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A Retrospective survey of patient experience following elective/emergency AAA repair

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  1. Benjamin Tan Royal Derby Hospital A Retrospective survey of patient experience following elective/emergency AAA repair

  2. Consort diagram Dec 2010 – Nov 2011 6 Died 67 patients identified 1 Moved Abroad 60 patients sent questionnaires 51 replies 1 unusable Total: 50 replies analysed Response rate (83.3%)

  3. 47 Male, 3 Female Median Age: 76.0 (range 60 – 89) Elective n=42 (84%), Emergency n=8 (16%) EVAR n=27 (54%), fEVAR n=5 (10%), Open n=18(36%) Median length of stay: 6.0 days (range 2 – 36) Patient demographics

  4. Did you have trust and confidence in doctors? • Yes, always (n=49), 100% • Missing (n=1) • Did you have trust and confidence in the nurses? • Yes, always (n=39), 79.6% • Yes, sometimes (n=10), 20.4% • Missing (n=1) Doctors and Nurses

  5. Were you involved as much as you wanted in decisions about care and treatment? • Yes, definitely (n=35), 71.4% • Yes, to some extent (n=11), 22.5% • No (n=3), 6.1% • Missing (n=1) Care and treatment

  6. How much information about your condition or treatment was given to you? • Not enough (n=4), 8.3% • The right amount (n=44), 91.7% • Missing (n=2) • Were you ever in any pain? • Yes (n=29), 59.2% • No (n=20), 40.8% • Missing (n=1) Care and treatment

  7. Did you find someone on the hospital staff to talk to about your worries and fears? • Yes, definitely (n=11), 22.5% • Yes, to some extent (n=7), 14.3% • No (n=3), 6.1% • I had no worries or fears (n=28%), 57.1% • Missing (n=1) Care and treatment

  8. Beforehand, did a member of staff explain the risks and benefits of the operation or procedure in a way you could understand? • Yes, completely (n=42), 89.4% • Yes, to some extent (n=2), 4.3% • No (n=2), 4.3% • I did not want an explanation (n=1), 2.1% • Missing (n=1) Operations

  9. Beforehand, were you told how you could expect to feel after you had the operation or procedure? • Yes, completely (n=30), 63.8% • Yes, to some extent (n=11), 23.4% • No (n=6), 12.8% • Missing (n=2) Operations

  10. After the operation or procedure, did a member of staff explain how the operation or procedure had gone in a way you could understand? • Yes, completely (n=42), 87.5% • Yes, to some extent (n=5), 10.4% • No (n=1), 2.1% • Missing (n=2) Operations

  11. Did you feel you were involved in decisions about your discharge from hospital? • Yes, definitely (n=30), 63.8% • Yes, to some extent (n=10), 21.3% • No (n=5), 10.6% • I did not need to be involved (n=2), 4.3% • Missing (n=3) Discharge

  12. Do you feel that you received enough information from the hospital on how to manage your condition after your discharge? • Yes, definitely (n=26), 53.1% • Yes, to some extent (n=12), 24.5% • No (n=6), 12.2% • I did not need help managing my condition (n=5), 10.2% • Missing (n=1) Discharge

  13. How would you rate the care you received? • Excellent (n=31), 63.3% • Very good (n=14), 28.6% • Good (n=3), 6.1% • Fair (n=1), 2.0% • Missing (n=1) Overall

  14. Mobility • I have no problems (n=29), 59.2% • I have some problems (n=20), 40.8% • Missing (n=1) • Self-care • I have no problems (n=43), 87.8% • I have some problems (n=6), 12.2% • Missing (n=1) Post-op

  15. Usual activities • I have no problems (n=35), 71.4% • I have some problems (n=12), 24.5% • I am unable to perform my usual activities (n=2), 4.1% • Missing (n=1) Post-op

  16. Pain/discomfort • I have no pain or discomfort (n=35), 71.4% • I have some pain or discomfort (n=13), 26.5% • I have extreme pain or discomfort (n=1), 2.1% • Missing (n=1) Post-op

  17. Anxiety/depression • I am not anxious or depressed (n=43), 89.6% • I am moderately anxious or depressed (n=5), 10.4% • Missing (n=2) Post-op

  18. Patients who underwent EVAR procedure had • Less pain whilst in hospital (Mann-Whitney test, p=0.001) • Shorter hospital stay (Mann-Whitney test, p<0.0001) • No significant statistical difference in post-operative pain, mobility, self-care and anxiety Statistics

  19. Patients who underwent routine operation had • Less pain whilst in hospital (Mann-Whitney test, p=0.041) • Shorter hospital stay (Mann-Whitney test, p<0.0001) • No significant statistical difference in post-operative pain, mobility, self-care and anxiety Statistics

  20. Main patient complaints are about quality of food served in the hospital Patient comments

  21. Questions?

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