Translation and validation of the Amsterdam preoperative anxiety and information scale (APAIS) in Serbia

Jovanović, Ksenija; Kalezić, Nevena; Grujičić, Sandra Šipetić; Živaljević, Vladan; Jovanović, Miodrag; Savic, Milica; Bukumirić, Zoran; Dragaš, Marko; Sladojević, Miloš; Trailovic, Ranko; Končar, Igor; Davidovic, Lazar

doi:10.1002/brb3.2462

Cited by 9 publications

(5 citation statements)

References 27 publications

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“…Interestingly, the literature for APAIS suggests that scores greater than 11 signal high pre-operative anxiety [17][18][19][20]. Given that our patient population had a baseline median score of 24 and only one participant had a score below 11 (score = 9), our population may be more anxious compared to other populations undergoing surgery.…”

Section: Discussionmentioning

confidence: 93%

Pre-Operative Anxiety Related to Major Urogynecologic Surgery: Insights from Perioperative Survey Data in Maine

Kaonga,

Courbron,

Holmgren

et al. 2024

Reprod. Med.

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Background: Higher levels of pre-operative anxiety are associated with adverse outcomes according to the cardiothoracic and orthopedic literature on emergent surgeries. There are limited data on pre-operative anxiety levels in the gynecologic setting. This study sought to identify predictive variables for high pre-operative anxiety levels in patients undergoing major urogynecologic surgery. Methods: Pre- and post-operative surveys that included demographic data, a modification of the Amsterdam Pre-Operative Anxiety and Information Scale, and open-ended questions regarding anxiety were administered. Descriptive, univariate and multivariate analyses were used to analyze the quantitative elements of the survey data. The qualitative components of the survey data were coded and analyzed using thematic analyses. Results: A total of 54 participants completed the pre-operative survey. The median age was 62 years old, and the majority were employed (n = 34, 60.7%). Roughly 1/3 had been diagnosed with a mental health condition (n = 19, 33.9%) and nearly all had other health conditions (n = 51, 91%). The baseline APAIS score ranged from 9 to 40, with higher scores reflecting higher levels of pre-operative anxiety. The median APAIS score was 24, with a score equal to or greater than 30 being in the highest tertile. Conclusion: No associations were made between the variables and pre-operative anxiety levels. However, useful insights into our patient population were made.

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Section: Discussionmentioning

confidence: 93%

Pre-Operative Anxiety Related to Major Urogynecologic Surgery: Insights from Perioperative Survey Data in Maine

Kaonga,

Courbron,

Holmgren

et al. 2024

Reprod. Med.

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“…APAIS is a self-reported questionnaire used to quickly assessing preoperative anxiety. The scale consists of six items which can be divided into two scales, including an anxiety scale (items 1, 2, 4, and 5) and a need-for-information scale (items 3 and 6) [ 22 ]. It is a “gold standard” for preoperative anxiety measurement [ 23 ], which could be completed in 2 min, and with a high response rate and good acceptability in Chinese patients as well [ 24 ].…”

Section: Methodsmentioning

confidence: 99%

Esketamine pretreatment during cesarean section reduced the incidence of postpartum depression: a randomized controlled trail

Xu,

Yang,

et al. 2024

BMC Anesthesiol

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Background Postpartum depression (PPD) is a common mental disease in postpartum women, which has received more and more attention in society. Ketamine has been confirmed for its rapid antidepressant effect in women with PPD. We speculate that esketamine, an enantiomer of ketamine, pretreatment during cesarean can also reduce the incidence of PPD. Methods All the parturients enrolled in the study were randomly assigned to two groups: the esktamine group (0.2 mg/kg esketamine) and the control group (a same volume of saline). All the drugs were pumped for 40 min started from the beginning of the surgery. The Amsterdam Anxiety and Information Scale (APAIS) scores before the surgery, the Edinburgh postnatal depression scale (EPDS) scores at 4 d and 42 d after surgery, the Pain Numerical Rating Scale (NRS) scores at 6 h, 12 h, 24 h and 48 h post-operation were evaluated, as well as the adverse reactions were recorded. Results A total of 319 parturients were analyzed in the study. The incidence of PPD (EPDS score > 9) in the esketamine group was lower than the control group at 4 days after surgery (13.8% vs 23.1%, P = 0.0430) but not 42 days after surgery (P = 0.0987). Esketamine 0.2 mg/kg could reduce the NRS score at 6 h,12 h and 24 h after surgery, as well as the use of vasoactive drugs during surgery (P < 0.05). The incidences of maternal dizziness (17.0%), blurred vision (5%), illusion (3.8%) and drowsiness (3.8%) in the esketamine group were higher than those of control group (P < 0.05). Conclusions Intraoperative injection of esketamine (0.2 mg/kg) prevented the occurrence of depression (EPDS score > 9) at 4 days after delivery but not 42 days. Esketamine reduced the NRS scores at 6 h, 12 h and 24 h after surgery, but the occurrence of maternal side effects such as dizziness, blurred vision, drowsiness and hallucination were increased. Trial registration Registered in the Chinese Clinical Trial Registry (ChiCTR2100053422) on 20/11/2021.

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“…Preoperative anxiety was assessed using a previously validated Serbian version [14] of the APAIS scale [15]. The Serbian version of APAIS consists of two subscales, APAIS‐anesthesia (APAIS‐a) and APAIS‐procedure (APAIS‐p), which separately measure anesthesia‐ and procedure‐related anxieties.…”

Section: Methodsmentioning

confidence: 99%

Preoperative Anxiety is Associated With Postoperative Complications in Vascular Surgery: A Cross‐Sectional Study

et al. 2022

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Background Preoperative anxiety is associated with increased morbidity and/or mortality in surgical patients. This study investigated the incidence, predictors, and association of preoperative anxiety with postoperative complications in vascular surgery. Methods Consecutive patients undergoing aortic, carotid, and peripheral artery surgery, under general and regional anesthesia, from February until October 2019 were included in a cross‐sectional study. Anesthesiologists assessed preoperative anxiety using a validated Serbian version of the Amsterdam Preoperative Anxiety and Information Scale. Patients were divided into groups with low/high anxiety, both anesthesia‐ and surgery‐related. Statistical analysis included multivariate linear logistic regression and point‐biserial correlation. Results Of 402 patients interviewed, 16 were excluded and one patient refused to participate (response rate 99.7%). Out of 385 patients included (age range 39–86 years), 62.3% had previous surgery. High‐level anesthesia‐ and surgery‐related anxieties were present in 31.2 and 43.4% of patients, respectively. Independent predictors of high‐level anesthesia‐related anxiety were having no children (OR = 0.443, 95% CI: 0.239–0.821, p = 0.01), personal bad experiences with anesthesia (OR = 2.294, 95% CI: 1.043–5.045, p = 0.039), and time since diagnosis for ≥ 4 months (OR = 1.634, 95% CI: 1.023–5.983, p = 0.04). The female sex independently predicted high‐level surgery‐related preoperative anxiety (OR = 2.387, 95% CI: 1.432–3.979, p = 0.001). High‐level anesthesia‐related anxiety correlated with postoperative mental disorders (rpb = 0.193, p = 0.001) and pulmonary complications (rpb = 0.104, p = 0.042). Postoperative nausea (rpb = 0.111, p = 0.03) and postoperative mental disorders (rpb = 0.160, p = 0.002) correlated with high‐level surgery‐related preoperative anxiety. Conclusions Since preoperative anxiety affects the postoperative course and almost every third patient experiences anxiety preoperatively, routine screening might be recommended in vascular surgery.

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Translation and validation of the Amsterdam preoperative anxiety and information scale (APAIS) in Serbia

Cited by 9 publications

References 27 publications

Pre-Operative Anxiety Related to Major Urogynecologic Surgery: Insights from Perioperative Survey Data in Maine

Pre-Operative Anxiety Related to Major Urogynecologic Surgery: Insights from Perioperative Survey Data in Maine

Esketamine pretreatment during cesarean section reduced the incidence of postpartum depression: a randomized controlled trail

Preoperative Anxiety is Associated With Postoperative Complications in Vascular Surgery: A Cross‐Sectional Study

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