%0 Journal Article
%T Examining satisfaction of older adult patients and their caregivers following traumatic injury: a cross-sectional study of three level I trauma centres
%A Alessandro Orlando
%A Allen Tanner
%A Chester Dreiman
%A Constance McGraw
%A David Bar-Or
%A Laura Peck
%A Neal Lynch
%A Pamela Bourg
%A Rebecca Vogel
%J -
%D 2019
%R 10.1136/bmjopen-2019-032374
%X Objective To explore satisfaction of care received by older adult patients and their primary caregivers following traumatic injury.

Design Prospective, cross-sectional study using the FAMCARE (Family Satisfaction with Advanced Cancer Care Scale) satisfaction surveys prior to discharge.

Setting Three level I trauma centres in Colorado from November 2016 to December 2017.

Participants Trauma patients ¡İ55 years old and their primary caregivers.

Outcome measures Overall mean (SD) satisfaction, satisfaction <80% vs ¡İ80%, and mean satisfaction by survey conceptual structures.

Results Of the 319 patients and 336 caregivers included, the overall mean (SD) patient satisfaction was 81.7% (15.0%) and for caregivers was 83.6% (13.4%). The area with the highest mean for patient and caregiver satisfaction was psychosocial care (85.4% and 86.9%, respectively). Information giving was the lowest for patients (80.4%) and caregivers (80.9%). When individual items were examined, patients were significantly more satisfied with ¡®availability of nurses to answer questions¡¯ (84.5 (15.3) vs 87.4 (14.8), p=0.02) and significantly less satisfied with ¡®speed with which symptoms were treated¡¯ (80.6 (17.9) vs 84.0 (17.0), p=0.03) compared with caregivers. Patients with a history of smoking (least squares mean difference: £¿0.096 (£¿0.18 to ¨C0.07), p<0.001) and hospital discharge destination to an outside facility of care (adjusted OR: 1.6 (1.0 to 2.4), p=0.048) were identified as independent predictors of lower overall satisfaction in generalised linear and logistic models, respectively.

Conclusions Our data suggest that patients¡¯ medical history was driving both patient and caregiver satisfaction. Patient characteristics and expectations need to be considered when tailoring healthcare interventions
%U https://bmjopen.bmj.com/content/9/11/e032374