Patient education and anesthesia choice for total knee arthroplasty

Nabil M. Elkassabany, Daniel Abraham, Stephanie Huang, Brandon Kase, Finnah Pio, Eric Hume, Craig Israelite, Jiabin Liu

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)1709-1713
Number of pages5
JournalPatient Education and Counseling
Volume100
Issue number9
DOIs
StatePublished - Sep 1 2017
Externally publishedYes

Keywords

  • Anesthesia choice
  • General anesthesia
  • Neuraxial anesthesia
  • Patient education
  • Regional anesthesia
  • Spinal anesthesia
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    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