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AMBULATORY ANESTHESIA

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?

Donald Fung, MD, MSc^*, Marsha Cohen, MSc, MD, Susan Stewart, MSc, and Andy Davies, MD^*

*North Bay General Hospital, North Bay, and Department of Anesthesia, Faculty of Medicine, University of Toronto, Toronto; Centre for Research in Women’s Health, Sunnybrook & Women’s College Health Sciences Centre and the Department of Health Policy, Management & Evaluation, University of Toronto, Toronto; and North Shores District Health Council, North Bay, Ontario, Canada

Address correspondence and reprint requests to Donald Fung, MD, MSc, North Bay General Hospital, 750 Scollard, North Bay, Ontario, Canada. Address e-mail to dfung{at}cogeco.ca.

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 = 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.

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Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999