Information of the Patient and Reflection Period in Traumatology Emergency

Seance of wednesday 27 january 2016 (SÉANCE COMMUNE AVEC LA SOFCOT : Nouveautés en chirurgie orthopédique et traumatologique)

Abstract

Delayed trauma patients have limited information to give their consent for surgical management. Isolated member trauma without complications could be considered as delayed emergency. Does this short preoperative period should be an information and a reflection period as well as orthopedic surgery? We wanted to assess whether the information provided by the surgeon to his patient had an influence on the choice of treatment to help the surgeon to target its information as part of the emergency. The primary objective was to study the impact of a preoperative information on the patient's decision-making process. Secondary objectives were the evaluation of the rate of patient satisfaction with the information received, the additional information rate required, the request delay for consideration and the reproducibility of responses postoperatively. This prospective observational study conducted from 01/12/13 to 01/09/14, included all patients agreeing to participate with indication of surgical treatment for delayed emergency trauma (at least 24 hours). Patients responded to two questionnaires.Of the 115 patients enrolled, 107 were accepted to answer the questionnaires. For 92% of patients, the information received before surgery does not change their choice of care. 95% of patients were satisfied with the information received in the preoperative phase. However, the control questionnaire 21% required further information on the treatment and its aftermath. The reproducibility of the rate of post-operative information was 67%. Only one patient required a request delay. The average “waiting-time” before surgery was 2.8 days. Trauma surgery “deferred” faces a specific management regarding medical information.