Patient education and anesthesia choice for total knee arthroplasty.
Publication/Presentation Date
9-1-2017
Abstract
OBJECTIVES: Spinal anesthesia (SA) for Total Knee Arthroplasty (TKA) may be associated with better patients' outcomes. This study aims to assess the association between preoperative education about the advantage of SA over general anesthesia (GA) for TKA and the likelihood of patient choice of NA.
METHODS: Patients undergoing unilateral primary TKA were identified. Type of anesthesia (GA or SA), attendance of the (joints class), patient demographics, ASA status, anticoagulation status, and diagnosis of back problems were recoded. Regression analysis was used to assess the association between the type of anesthesia and attendance of the joints class.
RESULTS: 1010 patients were identified to have unilateral primary TKA. 31% of patients attended the joint class. Patients who attended the joints class were more likely to receive SA when compared to those who did not attend (OR=1.7, CI: 1.2-2.5, P=0.004) after adjusting for other variables.
CONCLUSION: Preoperative education about advantages of SA may be associated with an increase in patients receiving SA for TKA.
PRACTICE IMPLICATIONS: Increase in patients receiving SA for TKA may improve outcomes.
Volume
100
Issue
9
First Page
1709
Last Page
1713
ISSN
1873-5134
Published In/Presented At
Elkassabany, N. M., Abraham, D., Huang, S., Kase, B., Pio, F., Hume, E., Israelite, C., & Liu, J. (2017). Patient education and anesthesia choice for total knee arthroplasty. Patient education and counseling, 100(9), 1709–1713. https://doi.org/10.1016/j.pec.2017.04.014
Disciplines
Medicine and Health Sciences
PubMedID
28487116
Department(s)
Fellows and Residents
Document Type
Article