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Canadian Journal of Cardiology

Patient-Reported Experiences With Coronary Artery Bypass Grafting and Valve Replacement

Published:August 21, 2019DOI:https://doi.org/10.1016/j.cjca.2019.05.008

      Abstract

      Background

      The Canadian Patient Experience Survey—Inpatient Care is a validated measure for adult inpatient experience. Linking surveys with administrative data can examine the experience of patients in specific demographic or clinical groups.

      Methods

      We examined survey responses obtained over a 4-year period from patients who underwent coronary artery bypass graft and/or valve replacement in Alberta. The 56-question telephone survey was administered within 6 weeks of discharge. Surveys were linked with administrative records to identify the Canadian Classification of Intervention procedure codes, which were in scope. Responses to each question were reported as percentage in “top box,” where “top box” represents the most positive answer choice (eg, “always” and “yes”).

      Results

      From April 2014 to March 2018, 1082 surveys were completed by patients who underwent coronary artery bypass graft and/or valve replacement. Respondents were predominantly male (73.8%), with a mean age of 64.7 ± 11.9 years. Overall, 73.3% of respondents rated their hospital care as 9 or 10 out of 10 (best), and 86.2% would “definitely recommend” the hospital to friends/family members. Top performing questions pertained to having a discussion about help needed after discharge (96.6% responding “yes”) and receiving written discharge information (93.2% responding “yes”). Lack of quietness of the hospital environment at night (34.8% responding “always”) and lack of staff sufficiently describing side effects of new medications (44.9% responding “always”) were identified as potential areas for improvement.

      Conclusions

      Our results provide patient-reported experiences about inpatient cardiac care in Alberta hospitals. The findings could inform quality improvement initiatives that are patient-centred.

      Résumé

      Introduction

      Le Sondage sur les expériences d’hospitalisation des patients canadiens est un outil valide de mesure de l’expérience des patients adultes hospitalisés. Le couplage des sondages aux données administratives peut permettre d’examiner l’expérience des patients de groupes démographiques ou cliniques particuliers.

      Méthodes

      Nous avons examiné les réponses obtenues au sondage sur une période de 4 ans auprès de patients qui avaient subi un pontage aortocoronarien ou un remplacement valvulaire, ou les deux, en Alberta. Nous avons fait passer un sondage téléphonique de 56 questions dans les 6 semaines après la sortie de l’hôpital. Les sondages ont été couplés aux dossiers administratifs pour trouver les codes d’interventions de la Classification canadienne des interventions en santé, qui en faisaient partie. Les réponses à chacune des questions étaient exprimées en pourcentage dans la « catégorie supérieure », c’est-à-dire que la « catégorie supérieure » représente le choix le plus positif de réponse (par exemple « toujours » et « oui »).

      Résultats

      D’avril 2014 à mars 2018, les patients qui avaient subi un pontage aortocoronarien ou un remplacement valvulaire, ou les deux, ont rempli 1082 sondages. Les répondants étaient surtout des hommes (73,8 %), dont l’âge moyen était de 64,7 ± 11,9 ans. Dans l’ensemble, 73,3 % des répondants ont accordé à leurs soins hospitaliers une cote de 9 ou de 10 sur 10 (la plus élevée), et 86,2 % « recommanderaient certainement » l’hôpital à leurs amis et aux membres de leur famille. Les questions qui ont eu la meilleure cote concernaient le fait d’avoir une discussion sur l’aide nécessaire après la sortie de l’hôpital (96,6 % ont répondu « oui ») et de recevoir des renseignements écrits à la sortie de l’hôpital (93,2 % ont répondu « oui »). Le manque de tranquillité de l’environnement hospitalier durant la nuit (34,8 % ont répondu « toujours ») et le manque de personnel pour décrire adéquatement les effets secondaires des nouveaux médicaments (44,9 % ont répondu « toujours ») ont été considérés comme les points à améliorer.

      Conclusions

      Nos résultats fournissent les expériences rapportées par les patients sur les soins en cardiologie aux patients hospitalisés dans les hôpitaux de l’Alberta. Les résultats pourraient influencer les initiatives sur l’amélioration de la qualité de manière à ce qu’elles soient axées sur le patient.
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