Table 1.

Survey Question Regarding Postoperative Complications

While you were in the hospital recovering from your procedure did you have or did a doctor or nurse tell you that you had any of the following complications? (Fill in all that apply)

Heart attack

Your heart stopped beating (cardiac arrest)

Heart failure (congestive heart failure)

Abnormal heart rhythm such as atrial fibrillation

Severe pain coming from your heart (angina)

Stroke (e.g., weakness on one side of the body or difficulty speaking)

Blood clot in your leg

Blood clot in your lung

Infection in the surgical wound

You stopped breathing (respiratory arrest)

You were placed on a breathing machine because you were struggling to breathe on your own (respiratory failure)

An infection in your lungs (pneumonia)

Kidney failure and you needed dialysis

Nerve injury related to your procedure

Internal bleeding from your stomach or intestine (gastrointestinal bleed)

Stomach or intestinal ulcer

Severe pain lasting for > 1 day

Severe nausea and vomiting lasting for > 1 day

Prefer not to answer

None

Other: __________________________