Patients’ Satisfaction with Flexible Bronchoscopy in a Hospital-Based Community Practice

Abstract

Background: There are no data about patients’ satisfaction with a first bronchoscopy in community practice. Objectives: The aim of this study was to assess the satisfaction with flexible bronchoscopy and the willingness to return for the procedure if needed in hospital-based community practice. Methods: Prospective administration of a questionnaire before and after flexible bronchoscopy with inclusion of 126 patients in the analysis. Results: The reliability analysis demonstrated a good internal consistency of the questionnaire with a mean Cronbach α of 0.7 (range 0.63–0.76). Health status and overall satisfaction with bronchoscopy were reported as poor by 31 (25%) and 0 (0%) patients, fair by 34 (27%) and 3 (2%) patients, good by 47 (37%) and 51 (40%) patients and very good by 9 (7%) and 70 (56%) patients, respectively. Overall willingness to return for a flexible bronchoscopy if necessary was 98% (123/126). Transbronchial needle aspiration (TBNA) was the most often performed diagnostic procedure (74/126, 59%). Mean duration of the bronchoscopy in patients with and without TBNA was 30 and 19 min, respectively (p < 0.001). However, TBNA did not influence patient’s satisfaction. Preprocedure anxiety was reported by 26 of 51 patients (51%) and 24 of these patients (92%) rated their anxiety as unjustified after the procedure. Conclusions: Overall satisfaction and willingness to return for a flexible bronchoscopy in community practice are extremely high and these are independent of whether TBNA is undertaken or not.

British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accredited by NICE

“…The discomfort experienced by patients during bronchoscopy strongly correlates to anxiety before the procedure 295 296. Adequate sedation reduces patient anxiety and improves tolerance and satisfaction with the procedure 98.…”

Aquarism: An Innocent Leisure Activity?

“…We have described a restrictive ventilatory pattern with a predominantly granulocytic acute alveolar inflammation causing significant hypoxemia [10] . The detection of PLTX remains challenging and not widely available.…”

Propofolversuspropofol plus hydrocodone for flexible bronchoscopy: a randomised study

“…The aim of sedation is to achieve good patient tolerance, comfort and cooperation while reducing complications of the procedure [2][3][4]. Sedation is associated with high patient satisfaction and willingness to return for a repeat bronchoscopy, if necessary [5]. A survey in the UK has shown that .95% of the centres routinely perform sedated bronchoscopies [6].…”