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Beitragstitel The most important factors for patients' satisfaction during hospitalization for spinal surgery
Beitragscode P71
  1. Dominik Schmid Balgrist University Hospital
  2. Ilker Uçkay Universitätsklinik Balgrist Vortragender
  3. Mazda Farshad Balgrist University Hospital
Präsentationsform Poster
  • A09 - Qualitätssicherung
Abstract Introduction:
Patients' perspectives and expectations around spinal procedures are largely unknown and potentially responsive to non-medical factors. We asked if hospitalization-related expectations overrule objective surgical outcomes regarding the patients' final global satisfaction.

A questionnaire-based survey was performed during November-December 2021 on patient (mean age of 65 years, 81% were Swiss citizens, 87 females (52%)) 3-6 weeks following spinal surgery (70% lumbar). The survey contained 45 variables ranging from 1 to 5 points on the Likert Scale and the possibilities of free text insertion. Validation was performed by a subgroup of patients with individual interviews (n=10). Answers situated beyond the 50% percentile were defined as satisfactory. 167 questionnaires were analyzed with an acceptable internal consistency of the formulations (Cronbach's alpha 0.59). A multivariate logistic regression model (ROC value 0.80) was used to find the most influencing factors of patient’s satisfaction.

The most determinant variable of global satisfaction was the improvement of mobility (odds ratio 2.2, 95%CI 1.3-3.7), followed by the gentleness of the surgeon (OR 1.8, 95%CI 1.1-2.8) and the professional competence of the nurses (OR 1.8, 95%CI 0.5-6.2). Gender, age, patients' education, waiting delay until surgery, hotel services or improvement in pain (OR 1.0, 95%CI 0.6-1.6) were less influential on global satisfaction.

In adult spinal surgery, the three most striking determinants of global patient satisfaction of the hospitalization period are gain in mobility, gentleness of the surgeon, and professional competence of the nurses.