scholarly journals Web-Based Education Prior to Outpatient Orthopaedic Surgery Enhances Early Patient Satisfaction Scores: A Prospective Randomized Controlled Study

2018 ◽  
Vol 6 (1) ◽  
pp. 232596711775141 ◽  
Author(s):  
Carola F. van Eck ◽  
Aneet Toor ◽  
Michael B. Banffy ◽  
Ralph A. Gambardella
Keyword(s):  
Patient Satisfaction ◽  
Orthopaedic Surgery ◽  
Emotional Health ◽  
Controlled Study ◽  
Control Group ◽  
Study Group ◽  
Web Based ◽  
Randomized Controlled ◽  
Patient Satisfaction Scores ◽  
Web Based Education

Background: A good patient-surgeon relationship relies on adequate preoperative education and counseling. Several multimedia resources, such as web-based education tools, have become available to enhance aspects of perioperative care. Purpose/Hypothesis: The purpose of this study was to evaluate the effect of an interactive web-based education tool on perioperative patient satisfaction scores after outpatient orthopaedic surgery. It was hypothesized that web-based education prior to outpatient orthopaedic surgery enhances patient satisfaction scores. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: All patients undergoing knee arthroscopy with meniscectomy, chondroplasty, or anterior cruciate ligament reconstruction or shoulder arthroscopy with rotator cuff repair were eligible for inclusion and were randomized to the study or control group. The control group received routine education by the surgeon, whereas the study group received additional web-based education. At the first postoperative visit, all patients completed the OAS CAHPS (Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems) survey. Differences in patient satisfaction scores between the study and control groups were determined with an independent t test. Results: A total of 177 patients were included (104 [59%] males; mean age, 42 ± 14 years); 87 (49%) patients were randomized to receive additional web-based education. Total patient satisfaction score was significantly higher in the study group (97 ± 5) as compared with the control group (94 ± 8; P = .019), specifically for the OAS CAHPS core measure “recovery” (92 ± 13 vs 82 ± 23; P = .001). Age, sex, race, workers’ compensation status, education level, overall health, emotional health, procedure type and complexity, and addition of a video did not influence patient satisfaction scores. Conclusion: Supplemental web-based patient education prior to outpatient orthopaedic surgery enhances patient satisfaction scores.

scholarly journals AQUACEL® Ag Surgical Dressing Reduces Surgical Site Infection and Improves Patient Satisfaction in Minimally Invasive Total Knee Arthroplasty: A Prospective, Randomized, Controlled Study

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Feng-Chih Kuo ◽  
Bradley Chen ◽  
Mel S. Lee ◽  
Shih-Hsiang Yen ◽  
Jun-Wen Wang
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Minimally Invasive ◽  
Knee Arthroplasty ◽  
Controlled Study ◽  
Control Group ◽  
Study Group ◽  
Site Infection ◽  
Randomized Controlled ◽  
Total Knee

The use of modern surgical dressings to prevent wound complications and surgical site infection (SSI) after minimally invasive total knee arthroplasty (MIS-TKA) is lacking. In a prospective, randomized, controlled study, 240 patients were randomized to receive either AQUACEL Ag Surgical dressing (study group) or a standard dressing (control group) after MIS-TKA. The primary outcome was wound complication (SSI and blister). The secondary outcomes were wear time and number of dressing changes in the hospital and patient satisfaction (pain, comfort, and ease of use). In the intention-to-treat analysis, there was a significant reduction in the incidence of superficial SSI (0.8%, 95% CI∶ 0.00–2.48) in the study group compared to 8.3% (95% CI∶ 3.32–13.3) in the control group (p=0.01). There were no differences in blister and deep/organ-space SSIs between the two groups. Multivariate analysis revealed that AQUACEL Ag Surgical dressing was an independent risk factor for reduction of SSI (odds ratio: 0.07, 95% CI: 0.01–0.58, p=0.01). The study group had longer wear time (5.2±0.7 versus 1.7±0.4 days, p<0.0001) and lower number of dressing changes (1.0±0.2 versus 3.6±1.3 times, p<0.0001). Increased patient satisfaction (p<0.0001) was also noted in the study group. AQUACEL Ag Surgical dressing is an ideal dressing to provide wound care efficacy, patient satisfaction, reduction of SSI, and cost-effectiveness following MIS-TKA.

scholarly journals Effect of Ketorolac on the Prevention of Postoperative Catheter-Related Bladder Discomfort in Patients Undergoing Robot-Assisted Laparoscopic Radical Prostatectomy: A Randomized, Double-Blinded, Placebo-Controlled Study

2019 ◽  
Vol 8 (6) ◽  
pp. 759
Author(s):  
Jun-Young Park ◽  
Jun Hyuk Hong ◽  
Jihion Yu ◽  
Doo-Hwan Kim ◽  
Gi-Ho Koh ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Radical Prostatectomy ◽  
Primary Outcome ◽  
Laparoscopic Radical Prostatectomy ◽  
Controlled Study ◽  
Control Group ◽  
Robot Assisted ◽  
Pain Scores ◽  
Patient Satisfaction Scores ◽  
Double Blinded

Urinary catheterization can cause catheter-related bladder discomfort (CRBD). Ketorolac is widely used for pain control. Therefore, we evaluated the effect of ketorolac on the prevention of CRBD in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALP). All patients were randomly allocated to the ketorolac group or the control group. The primary outcome was CRBD above a moderate grade at 0 h postoperatively. CRBD above a moderate grade at 1, 2, and 6 h was also assessed. Postoperative pain, opioid requirement, ketorolac-related complications, patient satisfaction, and hospitalization duration were also assessed. The incidence of CRBD above a moderate grade at 0 h postoperatively was significantly lower in the ketorolac group (21.5% vs. 50.8%, p = 0.001) as were those at 1, 2, and 6 h. Pain scores at 0 and 1 h and opioid requirement over 24 h were significantly lower in the ketorolac group, while patient satisfaction scores were significantly higher in the ketorolac group. Ketorolac-related complications and hospitalization duration were not significantly different between the two groups. This study shows ketorolac can reduce postoperative CRBD above a moderate grade and increase patient satisfaction in patients undergoing RALP, suggesting it is a useful option to prevent postoperative CRBD.

scholarly journals Indirect Electroimpulse Myostimulation and Its Role in Treatment of Patients with Shin Bone Fractures

2015 ◽  
Vol 22 (4) ◽  
pp. 21-25
Author(s):  
V. N Obolenskiy ◽  
A. V Karpenko ◽  
N. V Zagorodniy
Keyword(s):  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Controlled Study ◽  
Control Group ◽  
Study Group ◽  
Thromboembolic Complications ◽  
Randomized Controlled ◽  
Electric Muscle Stimulation ◽  
Venous Thromboembolic

Prospective randomized controlled study to evaluate the efficacy of electric muscle stimulation (EMS) of calf muscles in prevention of venous thromboembolic complications (VTEC), shortening of treatment and rehabilitation terms in patients with shin bones fractures was performed. The study included 60 patients, aged 19-67 years, with isolated shin bones fractures. All patients were admitted at early (from 0.5 to 3 hours) terms after injury. For final fixation either intramedullary or plate osteosynthesis were used. All patients were on anticoagulant therapy for VTEC prevention. In the study group ( n =30) 2 séances of EMS, 3 hours each, were performed daily from the first day of hospitalization. In 30 patients from the control group EMS was not performed. It was shown that application of EMS ensured the shortening of treatment and rehabilitation terms, better quality of life and enabled to avoid VTEC development. Achieved preliminary data are indicative of the expediency of EMS application in traumatologic patients at early hospital stage.

The Effect of Pre-Consultation Information Videos on Patients Undergoing Carpal Tunnel Surgery: A Randomised Control Trial (Preprint)

2020 ◽  
Author(s):  
Reece Tso ◽  
Tristan Symonds ◽  
Justin Smith ◽  
Peter Bovey
Keyword(s):  
Patient Satisfaction ◽  
Carpal Tunnel ◽  
Intervention Group ◽  
Randomised Control Trial ◽  
Future Research ◽  
Control Group ◽  
Web Based ◽  
Carpal Tunnel Surgery ◽  
Consultation Time ◽  
Web Based Education

BACKGROUND Preoperative patient education is essential in ensuring patient satisfaction and optimising outcomes. With advances in technology, web-based education for preoperative care has become a useful tool to enhance in person consultations. OBJECTIVE The aim of this study was to determine the effect of web-based pre-consultation education videos on patient satisfaction and consultation time for patients undergoing carpal tunnel surgery (CTS). METHODS A randomised control study was conducted in Townsville. Participants were randomised in a 1:1 ratio to receive either a web-based or no pre-consultation video prior to consultation. After the consultation, patients completed a Likert scale questionnaire on the content of the video and their overall satisfaction with it. Consultation time was measured from the time patients entered the room to when they exited the room. Statistical analysis was performed using Stata V16. RESULTS There were 60 patients included in the analysis, with 30 in the intervention group and 30 in the control group. The results demonstrated a marginally higher satisfaction rate with the intervention group compared to the control group however this was not statistically significant (77% vs 70%, p = 0.559). Additionally, consultation time was found to be lower in the intervention group (6.4 minutes) when compared to the control group (12 minutes), with very strong evidence to suggest an association (p < 0.0001). CONCLUSIONS This study demonstrated that participants undergoing carpal tunnel surgery who engaged in pre consultation web-based education had a decreased consultation time and similar overall satisfaction. This suggests that web-based education may have a beneficial role for both surgeons and patients. Future research should be conducted to determine the optimal web-based education and to consider needs based education as a means of increasing patient satisfaction.

scholarly journals Indirect Electroimpulse Myostimulation and Its Role in Treatment of Patients with Shin Bone Fractures

2015 ◽  
pp. 21-25 ◽  
Author(s):  
V. N. Obolenskiy ◽  
A. V. Karpenko ◽  
N. V. Zagorodniy
Keyword(s):  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Controlled Study ◽  
Control Group ◽  
Study Group ◽  
Thromboembolic Complications ◽  
Randomized Controlled ◽  
Electric Muscle Stimulation ◽  
Venous Thromboembolic

Prospective randomized controlled study to evaluate the efficacy of electric muscle stimulation (EMS) of calf muscles in prevention of venous thromboembolic complications (VTEC), shortening of treatment and rehabilitation terms in patients with shin bones fractures was performed. The study included 60 patients, aged 19-67 years, with isolated shin bones fractures. All patients were admitted at early (from 0.5 to 3 hours) terms after injury. For final fixation either intramedullary or plate osteosynthesis were used. All patients were on anticoagulant therapy for VTEC prevention. In the study group ( n =30) 2 séances of EMS, 3 hours each, were performed daily from the first day of hospitalization. In 30 patients from the control group EMS was not performed. It was shown that application of EMS ensured the shortening of treatment and rehabilitation terms, better quality of life and enabled to avoid VTEC development. Achieved preliminary data are indicative of the expediency of EMS application in traumatologic patients at early hospital stage.

scholarly journals Magnesium sulphate nebulization in acute bronchiolitis in infants: a randomized controlled trial

2021 ◽  
Vol 8 (6) ◽  
pp. 1048
Author(s):  
Shivhar K. Janakwade ◽  
Sadbhavana Pandit ◽  
Neeraj Dhawan
Keyword(s):  
Respiratory Distress ◽  
Hospital Stay ◽  
Magnesium Sulphate ◽  
Controlled Trial ◽  
Assessment Instrument ◽  
Controlled Study ◽  
Control Group ◽  
Study Group ◽  
Acute Bronchiolitis ◽  
Randomized Controlled

 Background: Acute bronchiolitis is a disorder of the lower respiratory tract that occurs mostly in between 1 month to 24 months. There are limited numbers of studies on magnesium sulphate nebulization in acute bronchiolitis. There is a desperate need for a standard treatment which can reduce the morbidity and mortality in acute bronchiolitis. The goal was to study the efficacy of magnesium sulphate nebulization in infants with acute bronchiolitis.Methods: It was a prospective open labelled randomized controlled study. Children in age group of 2-12 months admitted with clinical diagnosis of acute bronchiolitis in paediatric emergency ward, GMSH-16, Chandigarh. Study group patients were treated with 40 mg/kg magnesium sulphate nebulization diluted with 2-3 ml normal saline in addition to supportive treatment as oxygen and IV fluids, three doses of medication were given at 1 hour interval and it was not repeated after three doses. Control group patients were treated with oxygen therapy, IV fluids, symptomatic treatment for fever and supportive care.Results: Respiratory distress assessment instrument score and length of hospital stay was significantly lesser in study group as compared to control group. SpO2 was significantly more in study group as compared to control group.Conclusions: Magnesium sulphate nebulization is effective in improving respiratory distress and oxygen saturation, it also reduces duration of hospital stay in infants with mild to moderate bronchiolitis.

Arthroscopic Rotator Cuff Repair With Graft Augmentation of 3-Dimensional Biological Collagen for Moderate to Large Tears: A Randomized Controlled Study

2018 ◽  
Vol 46 (6) ◽  
pp. 1424-1431 ◽  
Author(s):  
You-Zhi Cai ◽  
Chi Zhang ◽  
Ri-Long Jin ◽  
Tong Shen ◽  
Peng-Cheng Gu ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tears ◽  
Controlled Study ◽  
Control Group ◽  
Study Group ◽  
Randomized Controlled ◽  
3D Collagen ◽  
Cuff Repair ◽  
Retear Rate

Background: Due to the highly organized tissue and avascular nature of the rotator cuff, rotator cuff tears have limited ability to heal after the tendon is reinserted directly on the greater tubercle of the humerus. Consequently, retears are among the most common complications after rotator cuff repair. Augmentation of rotator cuff repairs with patches has been an active area of research in recent years to reduce retear rate. Hypothesis: Graft augmentation with 3D collagen could prevent retears of the repaired tendon and improve tendon-bone healing in moderate to large rotator cuff tears. Study Design: Randomized controlled study; Level of evidence, 2. Methods: A prospective, randomized controlled study was performed in a consecutive series of 112 patients age 50 to 85 years who underwent rotator cuff repair with the suture-bridge technique (58 patients, control group) or the suture-bridge technique augmented with 3-dimensional (3D) collagen (54 patients, study group). All patients were followed for 28.2 months (range, 24-36 months). Visual analog scale score for pain, University of California Los Angeles (UCLA) shoulder score, and Constant score were determined. Magnetic resonance imaging was performed pre- and postoperatively (at a minimum of 24 months) to evaluate the integrity of the rotator cuff and the retear rate of the repaired tendon. Three patients in each group had biopsies at nearly 24 months after surgery with histological assessment and transmission electron microscopy. Results: A total of 104 patients completed the final follow-up. At the 12-month follow-up, the UCLA shoulder score was 28.1 ± 1.9 in the study group, which was significantly better than that in the control group (26.9 ± 2.1, P = .002). The Constant score was also significantly better in the study group (87.1 ± 3.2) than in the control group (84.9 ± 4.2, P = .003). However, at the final follow-up, no significant differences were found in the UCLA shoulder scores (29.4 ± 1.9 in the control group and 30.0 ± 1.6 in the study group, P = .052) or Constant scores (89.9 ± 3.2 in the control group and 90.8 ± 3.5 in the study group, P = .18). In terms of structural integrity, more patients in the study group had a favorable type I retear grade (18/51) than in the control group (10/53) ( P = .06). The postoperative retear rate was 34.0% in the control group and 13.7% in the study group, thus indicating a significantly lower retear rate in the study group ( P = .02). Biopsy specimens of the tendon-bone interface in 6 patients revealed more bone formation and more aligned fibers with larger diameters in the study group than in the control group. No intraoperative or postoperative complications were noted in either group. Conclusion: 3D collagen augmentation could provide effective treatment of moderate to large rotator cuff tears, providing substantial functional improvement, and could reduce the retear rate. This technique could also promote new tendon-bone formation, thus exerting a prominent effect on tendon-bone healing.

Interfascial block at the serratus muscle plane versus conventional analgesia in breast surgery: a randomized controlled trial

2019 ◽  
Vol 44 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Guido Mazzinari ◽  
Lucas Rovira ◽  
Alma Casasempere ◽  
Juan Ortega ◽  
Luis Cort ◽  
...  
Keyword(s):  
Breast Surgery ◽  
Controlled Trial ◽  
Controlled Study ◽  
Lower Probability ◽  
Control Group ◽  
Study Group ◽  
Double Blind ◽  
Rescue Analgesia ◽  
Randomized Controlled ◽  
Pain Scores

Background and objectivesIn the context of opioid-sparing perioperative management, there is still little evidence from randomized controlled trials regarding the effectiveness of interfascial thoracic blocks. This study hypothesizes that receiving a serratus plane block reduces opioid requirements, pain scores, and rescue medication needs.MethodsThis double-blind, randomized controlled study was conducted on 60 adult females undergoing oncologic breast surgery. After general anesthesia, patients were randomly allocated to either conventional analgesia (control group, n=30) or single-injection serratus block with L-bupivacaine 0.25% 30mL (study group, n=30). First 24-hour total morphine consumption (primary outcome), pain scores at 1, 3, 6, 12, and 24 hours, time-to-first opioid rescue analgesia, and adverse effects were recorded.ResultsMedian 24 hours’ opioid dose was greater in the control group (median difference 9 mg (95% CI 4 to 14.5 mg); p<0.001). Proportional odds model showed that the study group has a lower probability of receiving opioid drugs (OR=0.26 (95% CI 0.10 to 0.68); p<0.001), while mastectomies have a higher probability of receiving them (OR=4.11 (95% CI 1.25 to 13.58); p=0.002). Pain scores in the study group were significantly lower throughout the follow-up period (p<0.001). Control group subjects needed earlier morphine rescue and had a higher risk of rescue dose requirement (p=0.002).ConclusionsInterfascial serratus plane block reduces opioid requirements and is associated with better pain scores and lower and later rescue analgesia needs in the first 24 hours, compared with conventional intravenous analgesia, in breast surgery.Trial registration numberNCT02905149.

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