Ambulatory surgery for chronic venous insufficiency using radiofrequency thermoablation: quality and satisfaction.

Renato Jiménez-Román, Andrés E Salazar-Álvarez, Luis F Riera-Del Moral
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Abstract

Background: Chronic venous disease is a frequent and prevalent pathology. Its surgical treatment has been shown to be cost-effective. Thermal endoablation performed as major outpatient surgery (MAS) is the technique of choice.

Objective: To know the satisfaction of patients after MAS and the quality of care provided.

Method: Observational, descriptive, cross-sectional study, carried out between January 2019 and March 2020. A survey was carried out on patients who underwent endovascular radiofrequency thermoablation in two hospitals in Spain, consisting of two questionnaires: one ad hoc and one another of satisfaction (SERCAL). Quality indices for MAS were measured.

Results: We analyzed 156 episodes. 145 interventions were carried out. We found 4 (2.8%) unscheduled admissions. 3 patients (2.1%) attended the emergency department. There was a 99.3% success rate. 100% of the patients had pre-surgical recommendations and informed consent. We obtained 48 surveys (response rate: 33.1%). All the patients gave a rating greater ≥ 8 in quality of care (x = 9.83) and would recommend this procedure to their relatives (x = 9.71).

Conclusions: Endovascular radiofrequency thermoablation performed in MAS has a high success rate and a very low rate of admission and visit to the emergency room. Patient satisfaction is high.

射频热消融治疗慢性静脉功能不全的门诊手术:质量和满意度。
背景:慢性静脉病是一种常见且普遍的病理学。它的外科治疗已被证明具有成本效益。作为主要门诊手术(MAS)进行的热内消融术是首选的技术。目的:了解MAS患者的满意度及护理质量。方法:2019年1月至2020年3月间进行的观察性、描述性、横断面研究。对西班牙两家医院接受血管内射频热消融术的患者进行了一项调查,包括两份问卷:一份是临时问卷,另一份是满意度问卷(SERCAL)。测量MAS的质量指标。结果:我们分析了156次发作。进行了145次干预。我们发现4例(2.8%)非计划入院。急诊科就诊3例(2.1%)。成功率为99.3%。100%的患者有术前建议和知情同意书。我们获得了48项调查(应答率:33.1%)。所有患者的护理质量评分均≥8(x=9.83),并向其亲属推荐该手术(x=9.71)。患者满意度很高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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