# Assessment of the Awareness of Pre-anesthesia Evaluations Among Healthcare Beneficiaries in a Tertiary Teaching Hospital in Central India: A Questionnaire-Based Survey

## TL;DR

This study found that most patients in Central India don't understand the purpose of pre-anesthesia evaluations, highlighting a need for better education and communication.

## Contribution

The study provides new insights into knowledge gaps about pre-anesthesia evaluations among healthcare beneficiaries in Central India.

## Key findings

- Only 30% of participants correctly understood the purpose of pre-anesthesia evaluations.
- Illiterate individuals and those without prior PAC clinic visits had lower knowledge scores.
- Urban residents and educated participants showed better understanding of PAEs.

## Abstract

Background

Pre-anesthesia evaluations (PAEs) play a crucial role in enhancing the safety of surgical procedures. This study aimed to assess the patients' understanding of PAEs in a tertiary care teaching hospital in Central India, identifying knowledge gaps and demographic disparities.

Methods

A cross-sectional study involving 413 patients and their attendants, attending the pre-admission anesthesia consultation (PAC) clinic, was conducted. The attendants were also included as they often play a vital role in decision-making and communication, particularly in the case of elderly or illiterate patients. This allowed us to capture the broader awareness of PAEs among healthcare beneficiaries who influence patient care. A questionnaire assessing 17 aspects of PAEs was administered. Data were analyzed based on demographics, education, and previous visits to the PAC clinic. The questionnaire was administered in multiple languages, and assistance was provided to illiterate patients to ensure accurate completion. Trained staff read questions aloud in the participant's preferred language (Hindi, Marathi, or English), explained key terms as needed, and ensured comprehension without guiding responses. This approach was standardized and approved as part of the study’s ethical protocol.

Results

Only 124 (30%) of the participants correctly understood the purpose of the PAE, while 201 (48.6%) believed it was necessary only for surgeries under anesthesia. This response reflects a common misconception. While it is true that PAE is not needed if no anesthesia is to be administered, it is important for procedures involving both general anesthesia and regional or monitored anesthesia care. Urban residents and those with previous PAC clinic visits demonstrated higher knowledge scores. Illiterate individuals scored lower than their educated counterparts, with significant differences across educational levels and age groups.

Conclusion

Although definitive large-scale data remains sparse, extant literature implies that the absence of complete PAEs may contribute to greater perioperative problems. PAEs are essential for perioperative planning and risk mitigation. This study emphasizes the need for more patient education and tailored interventions to understand PAEs. Clear communication and continual training for healthcare providers are essential for patient comprehension, engagement, and safer surgical techniques.