• J Clin Anesth · Feb 2010

    Factors affecting parental satisfaction following pediatric procedural sedation.

    • Vincent K Lew, Kirk Lalwani, and Tonya M Palermo.
    • Department of Anesthesiology and Peri-Operative Medicine, Oregon Health and Science University, Portland, OR 97239, USA.
    • J Clin Anesth. 2010 Feb 1; 22 (1): 29-34.

    Study ObjectiveTo investigate factors affecting parental satisfaction with a pediatric sedation service in a university hospital setting.DesignProspective, observational study with interviews using a survey instrument.SettingAcademic university hospital.SubjectsParents (or legal guardians; hereafter "parents") of 220 children scheduled for sedation with the hospital's pediatric sedation service.Interventions And MeasurementsCaregivers of children scheduled for sedation were interviewed using a validated survey instrument. The instrument was designed to investigate the quality of communication, environment, care provided, and the overall experience. We followed patients by telephone the day after discharge. Chi-square or linear-by-linear association tests were used to evaluate associations between satisfaction scores and demographic variables; the Mann-Whitney test was used for mean levels of satisfaction in anxious versus non-anxious children.Main ResultsOf 222 parents approached, 220 agreed to participate (response rate = 99.1%). Significant associations between each area of satisfaction and parents' overall satisfaction existed (P < 0.001). Previous sedations, types of sedation, age of child, or any individual provider were not significantly associated with overall satisfaction. Caregivers of anxious children reported less satisfaction than caregivers of non-anxious children. Parents of children who underwent magnetic resonance imaging reported the lowest mean satisfaction scores.ConclusionsOverall satisfaction was high, and care provided by anesthesiologists was significantly associated with overall satisfaction. A site in our institution was associated with significantly lower satisfaction as a result of inadequate space and privacy.

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