Purpose: To assess the patient's experience of anaesthesia in the early pos
toperative period, with a self-completed questionnaire (Evan).
Study design: Descriptive and evaluative study.
Patients: The study included 742 adults undergoing an elective surgical or
non surgical procedure under anaesthesia.
Methods: An Evan questionnaire with 25 questions was completed 24 hours aft
er anaesthesia by the patient. The questionnaire explored six areas, each o
ne being marked out from 0 to 100, as the visual analogue scale. The marks
were compared with consideration of age, gender, ASA physical class, type o
f anaesthesia, anaesthesia duration and type of surgery.
Results: The mean global mark was 76 +/- 9 (min-max: 34-99). Marks were low
er in the youngest patients, in females, in ASA 1 patients, in longest surg
ical procedures, especially with regard to areas belonging to "apprehension
", "pain-discomfort" and "physical needs". The lowest mark was given for th
e "information" provided during the pre-anaesthetic evaluation. Differences
in marks occurred also between surgical specialities.
Conclusion: The Evan questionnaire is a valuable tool for assessing the pat
ient's opinion on the perioperative period. Further studies are required to
extend its use to other fields, as ambulatory surgery. (C) 1999 Editions s
cientifiques et medicales Elsevier SAS.