Informed Consent for Intravenous Contrast Administration in the Emergency Department: Understanding and satisfaction among patients using the video-assisted vs. traditional methods
1Department of Emergency Medicine, Ewha Womans University, Seoul, Korea
2 Department of Emergency Medicine, Eulji University, Seoul, Korea
DOI: 10.22514/SV131.032017.15 Vol.13,Issue 1,March 2017 pp.28-31
Published: 20 March 2017
Background. Computed-tomography (CT) is increasingly performed among patients who visit an emergency department (ED), many of whom require the administra-tion of intravenous contrast, to make an accurate diagnosis of their condition and offer prompt treatment. Though the safety profile of new intravenous contrast agents has improved, patients are still exposed to significant risk from potentially life-threat-ening reactions.
Materials and Methods. This is a prospec-tive study. Subjects were patients over the age of 18, or their family representative, who visited the ED. Subjects were ran-domly assigned to either the original rou-tine explanation for consent or the video-assisted explanation. Patients completed a questionnaire about contrast adverse ef-fects and the proposed treatment. Results. Mean values of the degree of un-derstanding of informed consent were rel-atively higher in the video-assisted group. When assessing the proficiency of the in-former, the score for understanding and satisfaction was higher in the attending staff informed group than the house staff informed group.
Conclusion. This study showed a higher level of understanding in the group that was provided information using visual aids, rather than in the traditional way. Also, a higher level of understanding and satisfaction was shown among those who were given explanations by an attending staff member.
The busy ED, due to factors such as over-crowding, is expected to see benefit from appropriately utilizing multimedia visual aids, and also from more experienced medical staff providing information.
informed consent, intravenous contrast, visual aids
HYO JEONG SONG,YOON HEE CHOI,DUK HEE LEE. Informed Consent for Intravenous Contrast Administration in the Emergency Department: Understanding and satisfaction among patients using the video-assisted vs. traditional methods. Signa Vitae. 2017. 13(1);28-31.
1. Lambe HA, Hopper KD, Matthews YL. Use of informed consent for ionic and nonionic contrast media. Radiology 1992;184:145-8.
2. Hopper KD, Lambe HA, Shirk SJ. Readability of informed consent forms for use with iodinated contrast media. Radiology 1993;187:279-83.
3. Hopper KD, Houts PS, McCauslin MA, Matthews YL, Sefczek RJ. Patients’ attitudes toward informed consent for intravenous con-trast media. Invest Radiol 1992;27:362-6.
4. Spring DB, Winfield AC, Friedland GW, Shuman WP, Preger L. Written informed consent for i.v. contrast-enhanced radiography: patients’ attitudes and common limitations. AJR Am J Roentgenol 1988;151:1243-5.
5. Lautin EM, Freeman NJ, Schoenfeld AH, Bakal CW, Haramati N, Friedman AC, et al. Radiocontrast-associate renal dysfunction: incidence and risk factor. AJR Am J Roentgenol 1991;157:49-58.
6. Weisberg LS, Kurnik PB, Kurnik BR. Risk of radiocontrast nephropathy in patient with and without diabetes mellitus. Kidney Int 1994;45:259-65.
7. Yun SY, Park JW, Cho YS, Park JS, Lee HS, Cho KH. Consent for Emergency Patients; How Far Must We Go? J Korean Soc Emerg Med 2005;16:164-70.
8. Matthew E. Falagas, Ioanna P. Korbila, Konstantina P. Giannopoulou, Barbara K. Kondilis, George Peppas. Informed consent: how much and what do patients understand? Am J surgery 2009;198:420-35.
9. Shin SD, Jo YH, Cheon SB, Jung SK, Kwak YH, Rhee JE, Suh GJ. Effect of Emergency Department Over-crowding on the Outcome of Patient Care-A pilot study. J Korean Soc Emerg Med 2004;15:1-7.
10. Gaeta T, Torres R, Kotamraju R, Seidman C, Yarmush J. The Need for Emergency Medicine Resident Training in Informed Consent for Procedures. Acad Emerg Med 2007;14:785-9.
11. Raul B. Easton, Mark A. Graber, Jay Monnahan, Jason Hughes. Defining the Scope of Implied Consent in the Emergency Depart-ment. Am J Bioethics 2007;7:35-8.
12. Sahai A, Kucheria R, Challacombe B, Dasgupta P. Video consent: a pilot study of informed consent in laparoscopic urology and its impact on patient satisfaction. JSLS 2006;10:21-5.
13. Cowan EA, Calderon Y, Gennis P, Macklin R, Ortiz C, Wall SP. Spanish and English video-assisted informed consent for intravenous contrast administration in the emergency department: a randomized controlled trial. Ann Emerg Med 2007;49:221-30.
14. Gaeta T, Torres R, Kotamraju R, Seidman C, Yarmush J. The need for emergency medicine resident training in informed consent for procedures. Acad Emerg Med 2007;14:785-9.
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