title: Perioperative factors associated with HCAHPS responses of 2,758 surgical patients.
abstract: OBJECTIVE
  To determine perioperative treatments and events associated with Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey responses.
  
  
  METHODS
  Retrospective analysis.
  
  
  METHODS
  Single tertiary care, academic, urban, level-1 trauma center.
  
  
  METHODS
  Final cohort represents 2,758 consecutive surgical inpatients meeting criteria for evaluation by HCAHPS.
  
  
  METHODS
  Responses to four HCAHPS questions were compared against 19 perioperative treatments and events.
  
  
  METHODS
  Positive and negative responses to HCAHPS questions.
  
  
  RESULTS
  Patients responding affirmatively with a "9" or "10" to "what number would you use to rate this hospital" were associated with decreased lengths of hospitalization, greater lengths of surgery, decreased intraoperative opioid equianalgesic doses, greater preoperative midazolam doses, shorter post anesthesia care unit (PACU) lengths of stay and decreased last PACU numerical rating scale (NRS) pain scores. Patients responding affirmatively with "yes, definitely" to "would you recommend this hospital to your family" were associated with decreased last PACU NRS pain scores. Patients responding affirmatively with "yes, always" to "How often did the hospital staff do everything to help with your pain" were associated with decreased hospital lengths of stay, decreased chronic benzodiazepine use, greater chronic NSAID use, and decreased PACU lengths of stay. Patients responding affirmatively with "yes, always" to "how often was your pain well controlled" were associated with decreased chronic opioid use, decreased chronic benzodiazepine use, greater chronic NSAID use, increased length of surgery, decreased last PACU NRS pain score, and decreased first PACU NRS pain scores. Subgroup analysis of patients undergoing different types of surgery further characterized factors associated with HCAHPS responses among different surgical populations.
  
  
  CONCLUSIONS
  These data suggest that demographic factors, preadmission medications, and PACU pain scores but not analgesic medications are associated with patient satisfaction with regards to both pain management and overall satisfaction.
authors.affiliation: Department of Anesthesia, Cedars-Sinai Medical Center, Los Angeles, California.
authors.forename: Dermot P
authors.initials: DP
authors.lastname: Maher
authors.forename: Waylan
authors.initials: W
authors.lastname: Wong
authors.forename: Pauline
authors.initials: P
authors.lastname: Woo
authors.forename: Cesar
authors.initials: C
authors.lastname: Padilla
authors.forename: Xiao
authors.initials: X
authors.lastname: Zhang
authors.forename: Bahman
authors.initials: B
authors.lastname: Shamloo
authors.forename: Howard
authors.initials: H
authors.lastname: Rosner
authors.forename: Ronald
authors.initials: R
authors.lastname: Wender
authors.forename: Roya
authors.initials: R
authors.lastname: Yumul
authors.forename: Charles
authors.initials: C
authors.lastname: Louy
mesh_terms: D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D059408:Pain Management / Q000706:statistics & numerical data; D010149:Postoperative Pain; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D019990:Perioperative Care; D012189:Retrospective Studies
keywords: Benzodiazepines; Chronic Medications; HCAHPS; NSAIDs; Opioids; Patient Satisfaction; Postsurgical Pain