34 Patients experience in the catheterization laboratory (PATCATH) undergoing coronary procedures at a single high-volume centre

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Introduction Patient-reported experience metric (PREM) questionnaires are important tools used to evaluate patient experience but have yet to be widely used for patients undergoing cardiovascular procedures. Validated PREM tools may assist healthcare providers to identify areas of quality improvement. Methods A novel tool was developed by the Patient Initiative Committee of the European Association of Percutaneous Intervention (EAPCI), in association with the European Society of Cardiology Patient Forum, designed to capture patient experience in the catheterization laboratory, was used in the current study to capture patients’ responses. This questionnaire is divided into 3 domains assessing patient experience before, during and after coronary angiography or angioplasty (figure 1., Top, Middle and Bottom panel). Responses were recorded on a response scale of: strongly agree, agree, disagree, or strongly disagree. This tool was administered to consecutive patients undergoing coronary angiography or angioplasty at a single centre, in an anonymized manner, prior to hospital discharge. Age group and gender were voluntarily self-reported. Results A total of 396 patients were assessed over two-distinct study periods from November to December 2020 and subsequently from March to December 2022. A majority of subjects were male (76.8%); 3% of subjects were less than 45 years old, 38.6% were between 45-65 years, 31.8% were between 66-74 years and 26.5% were >75 years old. Patient responses indicated a high degree of satisfaction with the experience before the procedure: An average of 94.6% of patients strongly agreed or agreed with statements assessing positive experience, reflecting a level of knowledge of why the procedure was recommended and perceived the level of support (figure 1., Top panel). Similarly, patient responses indicated a high degree of satisfaction with the experience during the procedure: An average of 96.6% strongly agreed or agreed with statements assessing positive experience of comfort, safety, communication and understanding (figure 1., Middle panel). An average of 72.9% strongly agreed or agreed with statements assessing positive experience to the questions pertaining to after the procedure: With relatively lower levels of positive experience for questions related to lifestyle changes (78%), comprehension of a rehabilitation program (59.8%), future signs and symptoms to look out for (68.4%), medication prescription (63.4%) and treatment duration (66.9%) (figure 1., Bottom panel). Conclusion The EAPCI PREM tool designed to evaluate patient experience of coronary angiography or angioplasty, seems feasible to administer and seems to be generally well understood by patients. Lower rates of positive responses in the questionnaire domain related to experience after the procedure may indicate actual lower levels of positive experience; and/or deficiencies in the tool related to lack of relevance for some patients in certain domains.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.