• Pediatric emergency care · May 2023

    Observational Study

    Predictors of Caregiver Satisfaction With Pediatric Laceration Repair in the Pediatric Emergency Department.

    • Soyun Hwang, LeeJin HeeJH, Young Ho Kwak, KimDo KyunDKFrom the Department of Emergency Medicine, Seoul National University Hospital, Seoul., Jin Hee Jung, Jae Yun Jung, Hyuksool Kwon, Dongbum Suh, Yoo Jin Choi, Se Uk Lee, and Joong Wan Park.
    • From the Department of Emergency Medicine, Seoul National University Hospital, Seoul.
    • Pediatr Emerg Care. 2023 May 1; 39 (5): 324328324-328.

    ObjectivesThe objective of this study was to define the care factors that are important to caregivers' satisfaction with pediatric laceration repair and the overall emergency department (ED) experience.MethodsThis was a cross-sectional observation study performed in an urban tertiary hospital. The caregivers of patients younger than 18 years who presented to the ED for laceration repair completed a survey. Demographic data were analyzed. Univariate and multivariate logistic regressions were used to determine the factors related to satisfaction with the laceration repair and the overall ED experience.ResultsFifty-five caregivers were enrolled. Most of the children had facial lacerations (n = 44, 80%). The median length of ED stay was 181 minutes (interquartile range [IQR], 157-208 minutes). The children's median age was 41.8 months (IQR, 23-91 months); the caregivers' median age was 37 years (IQR, 35-41 years). Most lacerations were repaired by plastic surgeons (81.8%). In the multivariate regression analysis, preparation before the procedure, mid-income family, caring attitude of the nurse, cosmetic outcome, and measures to control the patient's anxiety were significantly related to the caregiver's satisfaction with laceration repair (P < 0.05), whereas preparation before the procedure and ED environment were significantly related to the caregiver's satisfaction with the overall ED experience (P < 0.05).ConclusionsPreparation before the procedure was significantly related to the caregiver's satisfaction with both pediatric laceration repair and the overall PED experience. The strongest predictors were cosmetic outcome for laceration repair and preparation for the procedure for the overall PED experience. Our findings suggest that improvements in various aspects will increase parent satisfaction.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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