Prevalence and factors associated with preoperative anxiety in children aged 5-12 years

Abstract

Objective:to estimate the prevalence and factors associated with preoperative anxiety in children who wait for outpatient surgery. Method:cross-sectional analysis of baseline data of a prospective cohort study that investigates the predictors of postoperative pain in children aged 5-12 years submitted to inguinal and umbilical hernia repair. It was selected 210 children, which were interviewed in the preoperative holding area of a general hospital. Anxiety was evaluated using the modified Yale Preoperative Anxiety Scale (mYPAS). Sociodemographic and clinical variables were analyzed as exposure and anxiety (mYPAS final score>30) as outcome. Logistic regression was used to identify factors associated with preoperative anxiety. Results:forty-two percent (42.0%) of children presented preoperative anxiety (CI95%: 35.7%-48.6%), with mean scores equal to 30.1 (SD=8.4). Factors associated with preoperative anxiety were: age group of 5-6 years (OR=2.28; p=0.007) and socioeconomic status classified as class C (OR=2.39; p=0.016). Conclusion:the evaluation of children who wait for outpatient surgery should be multidimensional and comprise information on age and socioeconomic status, in order to help in the identification and early treatment of preoperative anxiety.

The Effect of Gamification through a Virtual Reality on Preoperative Anxiety in Pediatric Patients Undergoing General Anesthesia: A Prospective, Randomized, and Controlled Trial

“…Power analysis was performed using G*Power 3.1.2 (Heinrich-Heine University, Düsseldorf, Germany). A previous study reported that the mean (SD) of m-YPAS score was 30.1 (8.4) in the control group undergoing elective surgery [ 17 ]. For clinical significance of the effect of the VR game, a reduction of 20% of the m-YPAS score was necessary.…”

Randomized clinical trial of immersive virtual reality tour of the operating theatre in children before anaesthesia

“…The primary outcome of this study was m‐YPAS score. A previous investigation reported that the mean(s.d.) m‐YPAS score of the control group was 30·1(8·4).…”

“…A previous investigation reported that the mean(s.d.) m‐YPAS score of the control group was 30·1(8·4). A decrease in m‐YPAS score of 20 per cent resulting from a VR tour was considered clinically significant.…”

Prácticas de ansiólisis preoperatoria en pacientes pediátricos: prevalencia, limitantes y otros factores relacionados

“…Con frecuencia, en la literatura se evalúa el fenómeno de la ansiedad perioperatoria del paciente pediátrico desde la perspectiva de su prevalencia, la que se encuentra entre 42-70% (28,29) . Sin embargo, no se ha evaluado el fenómeno desde la prevalencia de las estrategias para evitarlo, en este caso desde el uso de ansiólisis perioperatoria con el fin de mitigar sus efectos.…”