A prospective observational study on tolerance and satisfaction to hepatic haemodynamic procedures. (27th March 2014)

• Record Type: Journal Article
• Authors: Casu, Stefania; Berzigotti, Annalisa; Abraldes, Juan G.; Baringo, M. Angels; Rocabert, Laura; Hernández‐Gea, Virginia; García‐Pagán, Joan Carles; Bosch, Jaume
• Is Part Of: Liver international. Volume 35:Number 3(2015:Mar.)
• Page Start: 695
• Page End: 703
• Publication Date: 2014-03-27
• Subjects: Liver -- Periodicals; Liver -- Diseases -- Periodicals; 616.362
• DOI: 10.1111/liv.12522
• Languages: English
• ISSNs: 1478-3223

Abstract

<abstract abstract-type="main" id="liv12522-abs-0001"> <title>Abstract</title> <sec id="liv12522-sec-0001" sec-type="section"> <title>Background</title> <p>Understanding patients' attitudes to clinical experiences is essential for developing high‐quality patient‐centred healthcare, as a better knowledge of patients' tolerance and satisfaction might allow implementing measures that ameliorate comfort, care and use of resources.</p> </sec> <sec id="liv12522-sec-0002" sec-type="section"> <title>Aims</title> <p>We aimed to describe patients' tolerance and satisfaction to invasive hepatic haemodynamic procedures, and to investigate which factors might influence patients' perspective in this field.</p> </sec> <sec id="liv12522-sec-0003" sec-type="section"> <title>Methods</title> <p>Visual Analogue Scale (VAS) questionnaires regarding pain and duration (for tolerance), and comfort and general handling (for satisfaction) were prospectively administered to all consecutive patients (<italic>N</italic> = 327) submitted to hepatic haemodynamic procedures (<italic>N</italic> = 355) in a tertiary care setting during 2011. VAS scores ranged between 0 and 100 mm and items were defined as excellent if <10 mm; good if 10–20 mm and inadequate if >20 mm. Clinical and laboratory data were also collected.</p> </sec> <sec id="liv12522-sec-0004" sec-type="section"> <title>Results</title> <p>Satisfaction was excellent in >95% of cases (mean 2 ± 5 mm, median 0 mm) and average tolerance was good (15 ± 18 mm; median 6 mm). A percentage of 59% of patients had excellent tolerance, 9% good and 32% had inadequate tolerance. Duration and complexity of the procedure and limited operator's experience were associated with inadequate tolerance on univariate analysis; duration of the procedure remained the only independent factor associated with inadequate tolerance on multivariate analysis. Procedures lasting <35 min had a >80% probability of being well tolerated.</p> </sec> <sec id="liv12522-sec-0005" sec-type="section"> <title>Conclusions</title> <p>Satisfaction and tolerance to hepatic haemodynamic procedures are excellent and good respectively. Tolerance was decreased in long procedures; hence reducing as much as possible the duration of the procedures might further improve tolerance.</p> </sec> </abstract>