Role of Preoperative Counselling With NSQIP Surgical Risk Calculator

Nepal Mediciti Hospital66 enrolled

Overview

Surgical patients undergo preoperative counseling which varies in quality and duration. Proper communication during the preoperative consultation can deliver relevant health information and guide improvement of perioperative health status. The methods, however, are non-standardized and the explanation of the postoperative course is generally vague or varies from person to person. We hypothesize that high-risk patients who receive pre-operative counseling with the help of the NSQIP surgical risk calculator compared to the current standard of care will have higher satisfaction concerning information on the perioperative journey.

The control arm will receive standard preoperative counselling and written consent will be taken. The NSQIP arm will receive standard preoperative counselling along with the details provided by NSQIP Surgical risk calculator and written consent will be taken. Anxiety among the patients will be accessed with the use of Preoperative anxiety measured by Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire written in Nepali. Duration of counselling period will be noted from the start of counselling session till the consent is signed.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Satisfaction, Patient

Counselling with NSQIP Surgical risk calculatorOTHER

Use of NSQIP surgical risk calculator to check for patient satisfaction regarding pre operative counseling.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * ASA III or above and/or age above 65 high-risk surgical patients undergoing surgery at Nepal Mediciti Hospital Exclusion Criteria: * Adults who cannot consent Pregnant women Non-Nepali speakers Consent by surrogate

Locations (1)

Bikash Khadka

Kathmandu, Bagmati, Nepal

Outcomes

Primary Outcomes

The difference in patient satisfaction as assessed by a 7-point Likert scale

The study will compare patient satisfaction scores between the two arms of the study groups to determine if there is a difference in patient satisfaction. It will be based on a scale of 1 to 7, 7 being the most satisfied and 1 being the least.

Time frame: 5 MONTHS

Secondary Outcomes

Preoperative anxiety measured by Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire written in Nepalese

Anxiety evaluation during preoperative counselling will be done by APAIS using a five point scale,5 being the most anxious and 1 being the least.

Time frame: 5 months

Duration of counseling

time taken to complete preoperative counseling which will be noted from start of counseling to the time when consent is signed.