Patient comprehension necessary for informed consent for vascular procedures is poor and related to frailty.

摘要: Abstract Objective Informed consent is an essential principle of high-quality healthcare. A core component surgical informed patient comprehension basic information such as the diagnosis, risks, benefits, and alternatives proposed surgery. We sought to assess among vascular surgery patients association between frailty, education, decisional conflict, comprehension. Method tested required for with a procedure-specific questionnaire in 102 consecutive undergoing selected procedures. Two who underwent open aortic aneurysm repair were excluded due small sample size. All assessment using conflict scale Frail/Nondisabled questionnaire. Analyses performed determine relationships being education level, score. Patients included this cohort had median age 71 years 25%, 14%, 28%, 33% carotid endarterectomy (CEA), endovascular (EVAR), dialysis access creation (AVF), percutaneous lower extremity procedures (PLE). Results Overall, 14% classified “informed” correctly answered all questions. Procedure type (p=0.001), obtained by attending surgeon versus trainee (p=0.04), frailty score (p=0.005) associated whether was or not. However, after multivariable adjustment, only independently (odds ratio 0.54, 95% confidence interval 0.30-0.95, p=0.03). Median 7.8, suggesting that feel well-informed supported spite poor understanding procedural indications, alternatives. Conclusions As group, have related consent. These findings potential ethical clinical implications, additional work best causes strategies mitigate same.