Can the Iowa Satisfaction with Anesthesia Scale Be Used to Measure Patient Satisfaction with Cataract Care Under Topical Local Anesthesia and Monitored Sedation at a Community Hospital?

Abstract

Patient satisfaction ratings provide a means to evaluate and monitor quality of health care. We tested the ability of the Iowa Satisfaction with Anesthesia Scale (ISAS) to measure satisfaction with cataract care under topical local anesthesia and monitored sedation given by an anesthesiologist at a community hospital. Three hundred six patients were administered the ISAS along with alternate ratings of quality of care and patient satisfaction. There were no incomplete questionnaires. The ISAS demonstrated reasonable reliability (Cronbach's alpha = 0.68; test-retest = 0.48-0.67). The ISAS had excellent construct validity; ISAS scores were lower in patients who gave lower ratings of quality (4.98 versus 5.64), who had lower satisfaction visual analog scale scores (5.12 versus 5.65), who wanted changes in their care (4.76 versus 5.67), who had suggestions to improve care (5.08 versus 5.63), or who preferred more sedation (4.85 versus 5.66) (P < 0.0001). Our results indicate that the ISAS questionnaire is a feasible, reliable, and valid tool to measure patient satisfaction in patients undergoing cataract surgery under topical anesthesia and monitored sedation.

Remifentanil-propofol versus fentanyl-propofol for monitored anesthesia care during hysteroscopy

“…The Iowa Satisfaction with Anesthesia Scale is a reliable and valid tool for measuring patient satisfaction in patients during monitored anesthesia care. The mean of their responses to each of the 11 statements gives a single number, which is a quantitative measure of patients' satisfaction with their monitored anesthesia care [23].…”

Assessing patient satisfaction with cataract surgery under topical anesthesia supplemented by intracameral lidocaine combined with sedation

“…This scale generates reliable total scores that are suitable for comparisons between groups of patients or within an individual patient. The usefulness of the ISAS scale for the assessment of satisfaction with anesthesia in cataract surgery has already been established (9) . The present study was conducted based on limited subjective data regarding the satisfaction of patients assisted by the same medical team, as no Brazilian data on this topic had been previously reported in the literature.…”

“…Upon exiting the operation room, a pain visual analog scale (VAS) was assessed (6,7) ( Figure 1). Before discharge from the day-hospital (time point 5), the participants completed a questionnaire designed according to the Iowa Satisfaction with Anesthesia Scale (ISAS) (8)(9)(10) (Table 1). VAS and ISAS were also assessed eight hours after the procedure (time point 6).…”

Optimal target concentration of remifentanil during cataract surgery with monitored anesthesia care

“…Postoperative pain scores, satisfaction scores according to the Iowa Satisfaction with Anesthesia Scale (ISAS) [19], and other postoperative adverse events were recorded. Ketorolac 30 mg IV was administered when VAS was N 40.…”