Iowa satisfaction with anesthesia scale

Article information

Korean J Anesthesiol. 2012;62(3):297-297

Publication date (electronic) : 2012 March 21

doi : https://doi.org/10.4097/kjae.2012.62.3.297

Departments of Anesthesia and Health Management & Policy University of Iowa, Iowa City, IA, USA.

Corresponding author: Franklin Dexter. Departments of Anesthesia and Health Management & Policy University of Iowa, Iowa City, IA, USA. franklin-dexter@uiowa.edu

To the Editor:

I was gratified to learn that Dr. Kim and colleagues found the Iowa Satisfaction with Anesthesia Scale [1] useful for comparing patient satisfaction between dexmedetomidine and propofol/alfentanil groups during cataract surgery [2]. Fung and colleagues found reliability and validity for cataract surgery patients among English speaking patients [3]. A recent multicenter center showed reliability and validity when used by telephone with English-speaking patients [4]. In English, there is a clear distinction between the somatic "I felt pain" and emotive "I hurt." Is this true in Korean? If respondents could not understand the meaning of "I hurt," then the internal consistency of the 11 items would be lower than the Cronbach alpha of 0.84 (95% confidence interval, 0.79-0.87) from the multicenter study [4]. If "I hurt" and "I felt pain" were not distinguishable, responses would be the same for nearly all patients, unlike the 39% giving different scores from the multicenter study [4].

References

1. Dexter F, Aker J, Wright WA. Development of a measure of patient satisfaction with monitored anesthesia care: the Iowa Satisfaction with Anesthesia Scale. Anesthesiology 1997;87:865–873. 9357889.

2. Na HS, Song IA, Park HS, Hwang JW, Do SH, Kim CS. Dexmedetomidine is effective for monitored anesthesia care in outpatients undergoing cataract surgery. Korean J Anesthesiol 2011;61:453–459. 22220220.

3. Fung D, Cohen M, Stewart S, Davies A. Can the Iowa Satisfaction with Anesthesia Scale be used to measure patient satisfaction with cataract care under topical local anesthesia and monitored sedation at a community hospital. Anesth Analg 2005;100:1637–1643. 15920188.

4. Dexter F, Candiotti KA. Multicenter assessment of the Iowa Satisfaction with Anesthesia Scale, an instrument that measures patient satisfaction with monitored anesthesia care. Anesth Analg 2011;113:364–368. 21519043.

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