Parents' satisfaction with pediatric ambulatory anesthesia in northeast of Thailand.
OBJECTIVE
Study the satisfaction of parents with ambulatory anesthesia and associated factors, including characteristics of the patients and their parents.


METHODS
This was a prospective, descriptive, observation study. The authors included children who were scheduled for ambulatory anesthetic service between birth and 14 years of age and attended at Srinagarind Hospital, Khon Kaen, Thailand. The authors excluded patients whose parents could not be reached by telephone. Before anesthesia, the authors recorded the patients and parents' characteristics, level of information perception (pre-, peri- and post-anesthesia and complications). After anesthesia, the anesthesia technique and any complications were recorded. The day after anesthesia, the authors made phone calls to the patients to record the parents' satisfaction score (viz, of overall, pre-, peri- and post-anesthesia care, and information about the level of patient care at home), and any anesthesia related complications.


RESULTS
Ninety-two patients and their parents were included in the present study. Overall parents 'satisfaction with the anesthesia service was 96.7% (i.e., 89/92) (95% CI 90.8-99.3). Parents' satisfaction with pre- and peri-anesthesia care was 100% (95% CI 96.1-100) and 97.9% (95% CI 92.4-99.7), respectively. Parents' satisfaction with the PACU care and information of patient care at home was 96.7% (95% CI 90.8-99.3) and 91.3% (95% CI 83.6-96.2), respectively. Associated factors where parents were dissatisfied included PACU care satisfaction (i.e., relative risk 22.5 (95% CI 3.2-158)) and patient care information at home (i.e., relative risk 13.3 (95% CI 1.3-136.0)).


CONCLUSIONS
The present study showed a high level of parents' satisfaction. Parents' dissatisfaction associated with PACU care and information about post anesthesia care at home. Additionally information on parents' characteristics provides invaluable data for improving pediatric ambulatory anesthesia in Srinagarind Hospital.
Boonmak
Suhattaya
S
Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. suhattayab@hotmail.com
Boonmak
Polpun
P
Pothiruk
Kittawan
K
Hoontanee
Nattakhan
N
D000293:Adolescent; D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D000758:Anesthesia / Q000379:methods* / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D015999:Multivariate Analysis; D010045:Outpatients; D010290:Parents; D010372:Pediatrics / Q000706:statistics & numerical data*; D010549:Personal Satisfaction; D011446:Prospective Studies; D011787:Quality of Health Care; D012306:Risk; D013785:Thailand