| Autor: |
Villafranca AJ; Department of Anesthesia and Perioperative Medicine, University of Manitoba, AE200 2nd Floor Harry Medovy House, 671 William Ave., Winnipeg, Manitoba, Canada., Arenson BG, Avidan MS, Glick D, Mashour GA, Jacobsohn E |
| Jazyk: |
angličtina |
| Zdroj: |
Anesthesia and analgesia [Anesth Analg] 2013 Feb; Vol. 116 (2), pp. 365-7. Date of Electronic Publication: 2013 Jan 09. |
| DOI: |
10.1213/ANE.0b013e3182771d3b |
| Abstrakt: |
Intraoperative awareness with explicit recall (AWR) is a self-reported outcome of interest in clinical practice, quality assurance initiatives, and clinical trials. Combining structured postoperative interviews with a preoperative description of AWR is assumed to ensure prompt patient disclosure. We describe a volitionally delayed reporting of AWR because of the perceived unimportance of nondistressing awareness experiences, despite preoperative education and 2 postoperative interviews. This delay had implications for a major randomized controlled trial on AWR. Volitionally delayed self-reported outcomes may affect statistical comparisons in clinical trials and quality assurance initiatives, and delay the treatment of subsequent sequelae in clinical practice. This limitation should be considered, even when using structured outcome assessment and preoperative education. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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