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Parental satisfaction after single-event multilevel surgery in ambulatory children with cerebral palsy
Sang Hyeong Lee1, Chin Youb Chung, Moon Seok Park
1Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Sungnam, South Korea.
Background:
The purpose of this study was to analyze parent satisfaction and factors affecting that satisfaction with single-event multilevel surgery outcomes in ambulatory children with cerebral palsy.
Methods:
Two hundred seventy-nine ambulatory patients with cerebral palsy were enrolled in this study. Parental satisfaction after surgery was evaluated using a visual analog scale (0-10), and the explanatory variables were collected by chart review.
Results:
Overall mean (SD) satisfaction after surgery was 7.9 (2.0), with mean follow-up of 6.6 years. The parents of patients classified as Gross Motor Function Classification System (GMFCS) level I cerebral palsy were more satisfied than parents of patients classified as GMFCS level II or III cerebral palsy (P = 0.029). Surgical satisfaction was higher for unilaterally involved patients than for bilaterally involved ones (P < 0.001). Multiple regression revealed predictors of satisfaction to be preoperative GMFCS level, diagnosis, age at surgery, and duration of follow-up.
Conclusions:
We believe that this data can be used to help predict the level of parental satisfaction when planning single-event multilevel surgery in ambulatory children with cerebral palsy.
Level Of Evidence:
Level II-Prognostic studies (investigating the effect of patient characteristic on the outcome of disease).