Assessment Of Preoperative Anxiety Using Visual Facial Anxiety Scale: An Alternative To The Verbal Rating Scale?

Yumul, Roya; Ahdout, Julianne; Goodman, Ariana; Elvir-Lazo, Ofelia Loani; Conte, Antonio Hernandez; Cao, Xun; White, Paul F.

doi:10.18103/mra.v0i4.281

Cited by 5 publications

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“…The preoperative anxiety among surgical patients is not routinely performed as part of preoperative patient evaluation and preparation for Anesthesia and surgery (5,(74)(75)(76)(77). However, body of evidences revealed that preoperative anxiety contributed a huge impact on perioperative undesirable outcomes including increased doses of induction agents (11,22,78,79), hemodynamic instability (11,22,27,52,79), cardiac morbidity and mortality in high risk patients (26,51,64,80,81), postoperative pain and increased consumption of analgesics (18,72,74,78,(82)(83)(84)(85)(86), postoperative delirium(87), patient dissatisfaction (88)(89)(90)(91), increased hospital length of stay (29,89,92) and these in turn can incur a signi cant health care cost (1,86,89,92).…”

Section: Discussionmentioning

confidence: 99%

Global Prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and Meta-analysis

Abate

Chekole

Basu

2020

Preprint

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Background: Preoperative anxiety, otherwise managed preoperatively, can cause high rate of cardiac mortality, adverse effects during anesthetic induction and patient recovery which correlate with high postoperative pain, increased analgesic and anesthetic consumption, prolonged hospital stay, poor quality of life decrease satisfaction with perioperative care. Objective: The systematic review and meta-analysis aimed to provide evidence on global prevalence and determinants of preoperative anxiety among surgical patients Methods: A three stage search strategy was conducted on PubMed/Medline, Cochran, Science Direct and LILACS databases. Publication bias was checked with a funnel plot and objective diagnostic test was conducted with Egger's correlation and Begg's regression tests. Results: The global pooled prevalence of preoperative anxiety among surgical patients was 48% (95% confidence interval (CI): 39 to 47%, 28 studies, 14652 participants. The systematic review and Meta-Analysis revealed that preoperative anxiety was approximately 4 times more likely in patients who had fear of complications, RR = 3.53(95 % confidence interval (CI: 3.06 to 4.07, six studies). Conclusion: The review revealed that approximately fifty percent of patients experienced preoperative anxiety which entails the policy makers and health care stakeholders should implement mitigating strategies to prevent and manage preoperative anxiety.

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Section: Discussionmentioning

confidence: 99%

Global Prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and Meta-analysis

Abate

Chekole

Basu

2020

Preprint

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“…In our previous pilot study, the facial scale was created using different style faces, and it was utilized as an alternative to the NVRS for assessing the level of preoperative [state] anxiety [ 16 ]. However, there were too many faces in this early scale and only a moderate correlation was found between the previous facial scale and NVRS.…”

Section: Discussionmentioning

confidence: 99%

A novel visual facial anxiety scale for assessing preoperative anxiety

et al. 2017

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BackgroundThere is currently no widely accepted instrument for measuring preoperative anxiety. The objective of this study was to develop a simple visual facial anxiety scale (VFAS) for assessing acute preoperative anxiety.MethodsThe initial VFAS was comprised of 11 similarly styled stick-figure reflecting different types of facial expressions (Fig 1). After obtaining IRB approval, a total of 265 participant-healthcare providers (e.g., anesthesiologists, anesthesiology residents, and perioperative nurses) were recruited to participate in this study. The participants were asked to: (1) rank the 11 faces from 0–10 (0 = no anxiety, while 10 = highest anxiety) and then to (2) match one of the 11 facial expression with a numeric verbal rating scale (NVRS) (0 = no anxiety and 10 = highest level of anxiety) and a specific categorical level of anxiety, namely no anxiety, mild, mild-moderate, moderate, moderate-high or highest anxiety. Based on these data, the Spearman correlation and frequencies of the 11 faces in relation to the 11-point numerical anxiety scale and 6 categorical anxiety levels were calculated. The highest frequency of a face assigned to a level of the numerical anxiety scale resulted in a finalized order of faces corresponding to the 11-point numeric rating scale.ResultsThe highest frequency for each of the NVRS anxiety scores were as follow: A0, A1, A2, A3, A4, A5, A7, A6, A8, A9 and A10 (Fig 2). For the six categorical anxiety levels, a total of 260 (98.1%) participants chose the face A0 as representing ‘no’ anxiety, 250 (94.3%) participants chose the face A10 as representing ‘highest’ anxiety and 147 (55.5%) participants chose the face A8 as representing ‘moderate-high’ anxiety. Spearman analysis showed a significant correlation between the faces A3 and A5 assigned to the mild-moderate anxiety category (r = 0.58), but A5 was ultimately chosen due to its higher frequency compared to the frequency of A3 (30.6% vs 24.9%)(Fig 3). Similarly, the correlation of the faces A7 and A6 was significantly correlated with moderate anxiety (r = 0.87), but A7 remained because of its higher frequency (35.9% vs 22.6%). Using frequency and Spearman correlations, the final order of the faces assigned to the categories none, mild, mild-moderate, moderate, moderate-high and highest anxiety levels was A0, A1, A5, A7, A8 and A10, respectively (Fig 4).ConclusionThe proposed VFAS was a valid tool for assessing the severity of acute [state] anxiety, and could be easy to administer in routine clinical practice.

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“…The Visual Facial Analogue Scale (VFAS) (Fig 2) was used to measure and record the preoperative anxiety in children. We select VFAS for anxiety assessment instead of Modified Yale Preoperative Anxiety Scale (mYPAS), because it is a useful and simple valid tool to assess preoperative anxiety in children and doesn't need specific training (14). The VFAS was developed by adapting the Wong-Baker Faces Pain Scale.…”

Section: Methodsmentioning

confidence: 99%

Effect of Using Virtual Reality Headset on Children Perioperative Anxiety: A Randomized Clinical Trial

Daabiss

2023

Int J Clin Anesth

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Background: Perioperative anxiety can affect up to 75% of children, which is more harmful than it is for adults. One of the appealing methods for diverting children's attention from difficult situations is virtual reality technology. The purpose of this study is to determine how well a virtual reality headset reduces preoperative anxiety and other undesirable postoperative behaviors in children. Materials And Methods: Eighty children aged five to twelve, who were scheduled for elective day surgery were randomly divided into two groups, each with 40 children. The virtual reality group (VRG) and the non-virtual reality control group, but with parental presence (NVRG). The Visual Facial Analogue Scale (VFAS) was used to measure preoperative anxiety in the holding area and in the operation room during anesthesia induction. Emergency delirium, unfavorable behavioral development, and the parents’ satisfaction were also evaluated postoperatively. Results: The demographic and social parameters of children in both groups were comparable. Most children in VRG showed lower rates of moderate anxiety than NVRG (8% vs. 44%) at the holding area (P˂0.05). At the time of anesthesia induction, the NVRG developed the highest level of anxiety than VRG (8% vs. 0%). However, there were no significant intergroup differences in postoperative emergency delirium or the onset of new negative behavior (P=0.32). Conclusion: Children's participation during the induction of general anesthesia can be improved by using virtual reality distraction technology as a simple, non-invasive, and enjoyable alternative to parental presence.

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Assessment Of Preoperative Anxiety Using Visual Facial Anxiety Scale: An Alternative To The Verbal Rating Scale?

Cited by 5 publications

References 0 publications

Global Prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and Meta-analysis

Global Prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and Meta-analysis

A novel visual facial anxiety scale for assessing preoperative anxiety

Effect of Using Virtual Reality Headset on Children Perioperative Anxiety: A Randomized Clinical Trial

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