Role of Pre-operative Counseling in the Surgical Patient
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Patient Education
- Sponsor
- Johns Hopkins University
- Enrollment
- 6
- Locations
- 1
- Primary Endpoint
- Difference in patient satisfaction as assessed by a 10-point scale
- Status
- Terminated
- Last Updated
- 4 years ago
Overview
Brief Summary
The study will seek to determine if surgical patients do better or the same if participants undergo pre-operative counseling for elective laparoscopic same day surgery. The study hypothesizes that patients who receive a pre-operative education booklet and a phone call from a surgical registered nurse, compared to the current standard of care, will have higher satisfaction with regard to participants' surgical experience, decrease in the number of post-operative phone calls, decrease in the number of opioid medications, and decrease in the number of emergency department visits. The importance of this study is to understand what surgical clinical practices can do in the pre-operative setting to enhance a surgical patient's recovery.
Detailed Description
In the last decade there has been an increasing focus on the patient's pre-operative, operative and post operative experience to help patient's in participants' recovery. For example, the surgical community has focused on pathways such as Enhanced Recovery After Surgery (ERAS), to improve patient's outcome and surgical experience. Despite this emphasis, little has been described in the literature as to how surgeons can improve a patient's experience by counseling participants on what participants can expect before, during, and after the surgery.
Investigators
Eligibility Criteria
Inclusion Criteria
- •General surgical patients who will undergo same-day laparoscopic ventral hernia, inguinal hernia, and gallbladder surgery at Howard County General Hospital with the general surgery practice at Johns Hopkins Community Physicians.
Exclusion Criteria
- •Patients less than 18 years of age
- •Adults who lack the capacity to consent
- •Pregnant women
- •Prisoners
- •Non-English speakers.
Outcomes
Primary Outcomes
Difference in patient satisfaction as assessed by a 10-point scale
Time Frame: 1 year
The study will compare patient satisfaction scores between the three arms of the study groups to determine if there is a difference in patient satisfaction. It will be based on a scale of 1 to 10, 10 being the most satisfied and 1 being the least.
Secondary Outcomes
- Number of cases with post operative respiratory occurrences(1 year)
- Number of post operative emergency department (ED) visits(1 year)
- Number of cases with post operative Return to the OR within 30 days(1 year)
- Number of cases with post operative Readmission(1 year)
- Difference in post-operative number of opioid tablets used(30 days)
- Number of cases with post operative Urinary tract occurrences(1 year)
- Number of cases with post operative cardiac occurrences(1 year)
- Number of cases with other unclassified post operative occurrences(1 year)
- Difference in time spent (in minutes) talking to patients on the phone(1 year)
- Number of cases with post operative central nervous system (CNS) occurrences(1 year)
- Number of cases with post operative Wound Occurrence(1 year)