Racial and Ethnic Concordance Between the Patient and Anesthesia Team and Patients’ Satisfaction With Pain Management During Cesarean Delivery
Authors' conclusion
Our inability to identify an association between concordance and satisfaction is likely due to the high satisfaction rate in our cohort (78.2%), combined with low proportion of full concordance (4.5%).
Study context
- Population
- Patients undergoing cesarean delivery under neuraxial anesthesia
- Participants
- 403 patients
- Comparison
- Partial concordance, discordance or missing vs full racial and ethnic concordance between patient and anesthesia team
- Full concordancen = 18reference
- Partial concordancen = 117
- Discordancen = 175
- Missingn = 93
- Primary endpoint
- Satisfaction with anesthesia care as it relates to pain management ("very satisfied" on 5-point Likert scale)
- Follow-up
- Within 48 hours after delivery
Methodological detailsmultivariable analysis
- Multivariable analysis
Primary result
As reported in the abstract
Decrease in odds of being satisfied
57%
95% CI −113 to 91
Partial concordance · nonsignificant; multivariable
Decrease in odds of being satisfied
29%
95% CI −251 to 85
Discordance · multivariable
Decrease in odds of being satisfied
39%
95% CI −210 to 88
Missing · multivariable
- Satisfaction rate across concordance categories
- P = 0.202
Further findings
Overall satisfaction ("very satisfied"), all participants · within 48 hours after delivery
- Very satisfied: 305 of 403
- 78.2% (78.2%; 95% CI, 73.8-82.1)
Would want the same anesthesia team, all participants
- Would want the same anesthesia team: 358 of 399
- 89.7% (89.7%; 95% CI, 86.3-92.5)
Risk factors for not being "very satisfied" (multivariable analysis)
- Pain during cesarean delivery (PDCD), anxiety disorders, pregnancy from in vitro fertilization, IV medication administration, intrapartum cesarean with extension of labor epidural, 3 anesthesia team members (instead of 2), higher intraoperative blood loss
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →