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Patients and jargon: are we speaking the same language?
Aaron M Fields1, Craig S Freiberg1, Alexandra Fickenscher2
1Department of Anesthesiology, Yale University School of Medicine, PO Box 208051, New Haven, CT 06520-8051, USA.
Study Objective:
To assess the ability of surgical patients to understand words commonly used during the anesthetic preoperative visit.
Design:
Questionnaire study.
Setting:
Preanesthetic holding area of a university hospital.
Patients:
96 perioperative ASA physical status I, II, III, and IV outpatients and patients to be admitted.
Interventions:
Patients were asked to complete a questionnaire that asked each to define 10 terms commonly used during the preoperative interview. Patients also answered three demographic questions as part of the survey.
Measurements:
Understanding of 10 commonly used terms, first language, age, and highest education level were all recorded.
Main Results:
Of the 10 terms, 4 had a greater than 80% correct response rate: EKG, i.v., general anesthesia, and local or regional anesthesia, with correct response rates of 92.7%, 91.7%, 81.3%, and 81.3%, respectively. The terms with the poorest understanding were NPO (31.3%), MI (32.3%), and pulse ox (39.6%). The rest of the terms, with their correct response rates, were as follows: GERD (67.7%), hypertension (70.8%), and intubate (60.4%). Whereas higher education was associated with correct answer score, age was not.
Conclusions:
Most patients understand the words EKG and i.v.. Further clarification might be needed when discussing general and regional anesthesia, and other words should be avoided or else explained.
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