The Amsterdam Preoperative Anxiety and Information Scale (APAIS)

Moerman, Nelly; Dam, F.S.A.M. van; Müller, Martin; Oosting, Hans

doi:10.1213/00000539-199603000-00002

Cited by 81 publications

(129 citation statements)

References 25 publications

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“…Preoperative Mini Mental State (MMS) was 29 [27][28][29] and 29 [28][29][30] respectively in the Des urane and Propofol groups. Preoperative anxiety, measured using APAIS was 14 [7][8][9][10][11][12][13][14][15][16][17] and 15 [10][11][12][13][14][15][16][17][18][19] respectively in the Des urane and Propofol groups (no signi cant difference). Preoperative cognitive functions did not signi cantly differ between groups (Figure 2 and Table 3).…”

Section: Resultsmentioning

confidence: 99%

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Cognitive Status of Patients Judged Fit for Discharge from the Post-Anaesthesia Care Unit after General Anaesthesia. A Randomized Comparison between Desflurane and Propofol Anaesthesia

Robert

Soulier

Sciard

et al. 2020

Preprint

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Background: The Aldrete's score is used to determine when a patient can safely leave the Post-Anaesthesia Care Unit (PACU) and be transferred to the surgical ward. The Aldrete score is based on the evaluation of vital signs and consciousness. Cognitive functions at the time the patient is judged fit for discharge from the PACU (Aldrete’s score ≥9) had not yet been studied. The aim of this trial was to assess the cognitive status of inpatients emerging either from desflurane or propofol anesthesia, at the time of PACU discharge (Aldrete score ≥9). Methods: Sixty adult patients scheduled for hip or knee arthroplasty under general anesthesia were randomly allocated to receive either desflurane or propofol anesthesia. Patients were evaluated the day before surgery using Digit Symbol Substitution Test, Stroop Test and Verbal Learning Test. After surgery, the Aldrete score was checked every 5 min until reaching a score ≥9. At this time, the same battery of cognitive tests was applied. Every tests were evaluated separately. Cognitive status was reported using a combined Z score pooling together the results all 3 cognitive tests. Results: Among the 3 tests, only DSST was significantly reduced at Aldrete Score ≥9 in the Dsflurane group. Combined Z-scores at Aldrete Score ≥9 were (in medians [interquartils]): -0.2 [-1.2;+0.6] and -0.4 [-1.1;+0.4] for desflurane and propofol groups respectively (P=0.62). The majority of patients did not present any cognitive dysfunction at Aldrete score ≥9 (24 patients out of 27 in the Propofol group and 23 patients out of 25 in the Desflurane group). Conclusion: An Aldrete score ≥9 was associated with satisfactory cognitive function recovery in the majority of the patients after a lower limb arthroplastic surgery under general anesthesia. No difference was observed between desflurane and propofol. This reinforces the clinical value of Aldrete score to state about ability to leave the PACU in safety conditions. Trial Registration: Clinical Trials identifier NCT 02036736

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Section: Resultsmentioning

confidence: 99%

“…Preoperatively, patients had a measurement of their anxiety level using the Amsterdam Preoperative Anxiety Information Scale [16]. Educational status was registered.…”

Section: Cognitive Assessmentmentioning

confidence: 99%

Cognitive Status of Patients Judged Fit for Discharge from the Post-Anaesthesia Care Unit after General Anaesthesia. A Randomized Comparison between Desflurane and Propofol Anaesthesia

Robert

Soulier

Sciard

et al. 2020

Preprint

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“…According to some researches including a study conducted in Agha Khan University Hospital, Karachi, higher anxiety levels were associated with female gender, surgery under general anesthesia, and a high information requirement. 1,3,6,8,9 A higher desire for information subscore was associated with a higher level of education, younger age group, and no previous history of surgery. 1,6 An Indian study, using APAIS showed the overall prevalence of preoperative anxiety to be 31% 4 while a study carried out in Greece showed 81% of the patients to be suffering from preoperative anxiety, with women being more afraid than men.…”

Section: Introductionmentioning

confidence: 96%

“…5 A study conducted in Amsterdam, using both the APAIS and the Spiel Berger's State-Trait Anxiety Inventory (STAI-State), showed that 32% of the patients could be considered as anxiety cases and over 80% have a positive attitude towards receiving information. 6 In 2009, research carried out in Agha Khan University Hospital Karachi, Pakistan showed preoperative anxiety to be present in 62% of patients. 8 High levels of preoperative anxiety were also found in patients undergoing surgery on the thyroid gland.…”

Section: Introductionmentioning

confidence: 99%

Preoperative Anxiety and Fear of Anesthesia in Patients admitted in Tertiary Care Hospitals of Rawalpindi

Mariyam¹,

Safdar²,

Fatima³

et al. 2020

JRMC

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Background: Preoperative apprehension is a widespread global problem. This anxiety and apprehension can significantly affect all aspects of anesthesia and surgery. Thus, it is essential to detect and address the patient's anxiety to assist in recovery after surgery and improve the patient's outcome. Materials and Methods: This is a cross-sectional study conducted over one year in the allied hospitals of Rawalpindi Medical University (RMU). Our sample size was 380 preoperative patients, who were selected by convenience sampling. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) was used.Results: The overall prevalence of anxiety was 30.5%, while the prevalence of information requirement was 33.2%. The mean total APAIS was 12.73±8.56, the mean anxiety subscore was 8.25±5.58, and the mean need for information subscore was 4.48±3.16. A statistically significant difference was found in the scores of the patients based on age, gender, education, type of anesthesia, and type of surgery (p< 0.05). The previous history of anesthesia and the presence of comorbidities did not bring a significant difference in the scores of the patients (p>0.05). Postoperative pain was the most important concern, found in 32% of the patients. Conclusion: Younger age group, female gender, having no formal education, surgery under regional anesthesia, and undergoing C-section, IOL implantation and septoplasty are associated with higher preoperative anxiety, while the presence of comorbidities and previous history of anesthesia are factors that do not significantly affect preoperative anxiety in our population.

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“…Although individuals' information needs have been shown to significantly impact the information search process (Cole, 2011;Lu & Yuan, 2011;Savolainen, 2017;Wilson, 1981), interindividual differences regarding such needs as well as their dependence on situational demands have been widely neglected in the existing research literature. Accordingly, the goals of information seeking behaviour are commonly operationalised uniformly and are mostly assessed as a unidimensional construct in terms of a unidirectionally quantifiable information need (Lu & Yuan, 2011;Moerman, van Dam, Muller, & Oosting, 1996;Terpstra, Zaalberg, Boer, & Botzen, 2014). Some studies apply a more context-sensitive approach and investigate the 'information need' for a specific type of information, such as information about cancer or fibromyalgia (Daraz, MacDermid, Wilkins, Gibson, & Shaw, 2011;Mesters, van den Borne, De Boer, & Pruyn, 2001).…”

Section: Introductionmentioning

confidence: 99%

Why do we want health information? The goals associated with health information seeking (GAINS) questionnaire

Chasiotis

Wedderhoff

Rosman

et al. 2019

Psychology & Health

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Objective: Individual goals of health information seeking have been widely neglected by previous research, let alone systematically assessed. The authors propose that these goals may be classified on two dimensions, namely coping focus (problem versus emotion oriented) and regulatory focus (promotion versus prevention oriented). Methods: Based on this classification, the authors developed the 16item Goals Associated with Health Information Seeking (GAINS) questionnaire measuring the four goals 'understanding', 'action planning', 'hope' and 'reassurance' on four scales, and a superordinate general need for health information. Three studies were conducted to assess the psychometric properties of the questionnaire. Results: In the first two studies (N ¼ 150 and N ¼ 283), internal consistency of the scales was acceptable to very good, and all items had a satisfying discriminatory power. Factorial validity was corroborated by an acceptable model fit in confirmatory factor analyses. In the third study, which included a patient sample (N ¼ 502), the questionnaire proved to be suitable for its target group and nomological relationships with personality as well as with situational variables providing evidence for construct validity. Conclusion: The GAINS is a reliable and valid assessment tool, which enables researchers and practitioners to identify an individual's goals related to health information seeking.

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The Amsterdam Preoperative Anxiety and Information Scale (APAIS)

Cited by 81 publications

References 25 publications

Cognitive Status of Patients Judged Fit for Discharge from the Post-Anaesthesia Care Unit after General Anaesthesia. A Randomized Comparison between Desflurane and Propofol Anaesthesia

Cognitive Status of Patients Judged Fit for Discharge from the Post-Anaesthesia Care Unit after General Anaesthesia. A Randomized Comparison between Desflurane and Propofol Anaesthesia

Preoperative Anxiety and Fear of Anesthesia in Patients admitted in Tertiary Care Hospitals of Rawalpindi

Why do we want health information? The goals associated with health information seeking (GAINS) questionnaire

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