A multicenter survey of perioperative anxiety in China: Pre- and postoperative associations

Li, Xirong; Zhang, Wenhao; Williams, John P.; Li, Tong; Yuan, Jianhu; Du, Yinan; Liu, Jin-De; Wu, Zhe; Xiao, Zhaoyang; Zhang, Rui; Liu, Guokai; Ge, Zheng; Zhang, Dongya; Ma, Hong; Guo, Qulian; An, Jian-Xiong

doi:10.1016/j.jpsychores.2021.110528

Cited by 45 publications

(34 citation statements)

References 46 publications

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“…Sample size was determined using methods for estimating the CI of a binomial proportion. Previous reported preoperative anxiety prevalence varied across a wide range (11 to 89%) [ 8 , 9 , 12 , 13 , 20 , 21 ]. We used 50% as the estimated prevalence because the sample size was largest under this estimated value.…”

Section: Methodsmentioning

confidence: 99%

Preoperative Anxiety in Chinese Adult Patients Undergoing Elective Surgeries: A Multicenter Cross‐Sectional Study

Zhang

Tian

et al. 2022

World j. surg.

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Background Preoperative anxiety is associated with increased use of anesthetics and poorer postoperative outcomes. However, the prevalence of preoperative anxiety has not been characterized in Chinese patients. In this study, we aimed to estimate the overall prevalence of preoperative anxiety in Chinese adult patients and to explore the sociodemographic and clinical factors associated with preoperative anxiety in China. Methods This study was a multicenter cross-sectional study conducted at 32 tertiary referral centers in China from September 1 to October 31, 2020. Adult patients scheduled for elective surgery were evaluated by the 7-item Perioperative Anxiety Scale (PAS-7) for preoperative anxiety after entrance to the operating zone. Results A total of 5191 patients were recruited, and 5018 of them were analyzed. The prevalence of preoperative anxiety measured by PAS-7 was 15.8% (95% CI 14.8 to 16.9%). Multivariable analyses showed female sex, younger age, non-retired, first in a lifetime surgery, surgery of higher risk, and poorer preoperative sleep were associated with higher prevalence of preoperative anxiety. Conclusions Preoperative anxiety was relatively common (prevalence of 15.8%) among adult Chinese patients undergoing elective surgeries. Further studies are needed using suitable assessment tools to better characterize preoperative anxiety, and additional focus should be placed on perioperative education and intervention, especially in primary hospitals. Trial registration This study was registered prospectively at www.chictr.org.cn (ChiCTR1900027639) on November 22, 2019.

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Section: Methodsmentioning

confidence: 99%

Preoperative Anxiety in Chinese Adult Patients Undergoing Elective Surgeries: A Multicenter Cross‐Sectional Study

Zhang

Tian

et al. 2022

World j. surg.

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“…Preoperative anxiety has a high incidence rate, ranging from 11% to 80% in different clinical disciplines [27,28] and can alter the postoperative process as well. If mismanaged, it can delay postoperative recovery, increase patients' need for postoperative medical intervention, and prolong the discharge process [19,29].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Preoperative Anxiety on Postoperative Symptoms in Patients Without a History of Anxiety Scheduled for Coronary Artery Bypass Grafting

Işık

Emir

2022

Galician med. j.

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The aim of this study was to measure the level of preoperative anxiety in patients scheduled for coronary artery bypass grafting (CABG) to assess the relationship between anxiety and postoperative symptoms. Materials and Methods. This descriptive study was conducted at a single university hospital from February to November 2021. Seventy-four CABG patients who completed the Anxiety Specific to Surgery Questionnaire, the Visual Analogue Scale, the Modified Borg Scale, the Rhodes Index of Nausea, Vomiting and Retching were included in the study. The data were analyzed by the mean, standard deviation, frequency distribution, Mann-Whitney U Test, and Spearman’s correlation analysis. Results. The average age of participants was 65.55 ± 8.35; 66.2% of them were males. The ASSQ total scores of female participants were significantly higher as compared to male participants (p < 0.05). There was a statistically significant positive relationship between the levels of anxiety in patients before CABG and the levels of postoperative pain and dyspnea severity (p < 0.05). Conclusions. Patients were found to experience predominantly moderate to severe anxiety before CABG, and increased dyspnea complaints and pain in the postoperative period. A coordinated, multidisciplinary approach to preoperative training of healthcare professionals may offer a promising way to provide more efficient and productive services.

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“…According to annual statistics released by the National Bureau of Statistics, the number of surgeries in China has increased annually [ 1 ]. With the increasing number of operations, the number of patients with preoperative anxiety also increases [ 2 ]. Children are particularly prone to preoperative anxiety due to their limited cognitive capabilities and greater dependence on others [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Research Progress on Risk Factors of Preoperative Anxiety in Children: A Scoping Review

Liu

Jia

et al. 2022

IJERPH

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Background: Preoperative anxiety has adverse effects on children and negative impacts on postoperative rehabilitation. Anesthesiologists can accurately identify children with preoperative anxiety, and individualized intervention can effectively improve their psychological state and clinical prognosis. However, a comprehensive summary of the current available evidence has yet to be conducted. Searches were conducted in Medline databases from inception to March 2022. Primary studies that reported preoperative anxiety in children and its attendant effects on postoperative recovery and prognosis were screened and included. Among the 309 publications identified, 12 related studies (n = 3540 patients) met the eligibility criteria. The incidence of preoperative anxiety in children in the included studies ranged from 41.7% to 75.44%. While 16 influencing factors were identified, only 5 factors had a significant impact on preoperative anxiety in children: younger age (n = 8), parental anxiety (n = 7), negative previous hospitalizations (n = 3), less sociableness (n = 2), and surgical setting (n = 1). The current scoping review identified risk factors for preoperative anxiety in children. Healthcare workers should identify and manage preoperatively anxious children. There are still some factors that are controversial, and large-scale clinical studies are needed.

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A multicenter survey of perioperative anxiety in China: Pre- and postoperative associations

Cited by 45 publications

References 46 publications

Preoperative Anxiety in Chinese Adult Patients Undergoing Elective Surgeries: A Multicenter Cross‐Sectional Study

Preoperative Anxiety in Chinese Adult Patients Undergoing Elective Surgeries: A Multicenter Cross‐Sectional Study

The Effect of Preoperative Anxiety on Postoperative Symptoms in Patients Without a History of Anxiety Scheduled for Coronary Artery Bypass Grafting

Research Progress on Risk Factors of Preoperative Anxiety in Children: A Scoping Review

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