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Research article
Comparation Of Different Scales To Assess Preoperative Anxiety In Children And Adolescent Undergoing Major Outpatient Surgery
Esther Aleo
Hospital Clinico Universitario San Carlos
Corresponding Author
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Background: Anxiety in children triggered by a scheduled surgical intervention is a major issue due to its frequency, and the short, medium and long term consequences.
Aim: To compare different scales to assess preoperative anxiety in children at various points in the build-up to a MAS procedure, and to correlate each with the scale used to assess compliance with anaesthesia induction.
Methods: An observational study was carried out on a cohort of children between 2-16 years old that were to undergo major outpatient surgery and whose anxiety was assessed on arrival to the hospital (M0), during transfer to the surgical unit (M1) and in the operating room during anaesthetic induction (M2). Anxiety in the parents (measured on the State-Trait Anxiety Inventory - STAI) and in the children (measured with the Spence Anxiety Scale - Paediatric (SCAS-P), the State-Trait Anxiety Inventory Children (STAIC) and preoperative anxiety measurement scale - m-YPAS) was assessed, and the Induction Compliance Checklist (ICC) was passed.
Results: The study cohort included 129 patients aged between 2 and 16 years (75.2% male, median age 6.3 years). Anxiety scores in m-YPAS rose as the children got closer to the surgery, being greater at the entrance to the surgical unit (M0 = 25.8 ± 8.4; M1 = 32.8 ± 19.0; M2 = 34.0 ± 21.5). The m-YPAS scale is closely correlated with the ICC scale at the preoperative M1 (0.567) and M2 stages (0.803).
Conclusions: Standard anxiety assessment scales are not able to predict the quality of anaesthetic induction. By contrast, the m-YPAS scale demonstrates that there is an increase in anxiety as the paediatric patient nears the surgical procedure and that it can predict a poor anaesthetic induction.
Keywords
perioperative anxiety, scales, separation from the parents, anaesthetic induction.
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This preprint is under consideration at BMC Anesthesiology. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Comparation Of Different Scales To Assess Preoperative Anxiety In Children And Adolescent Undergoing Major Outpatient Surgery
Esther Aleo
Hospital Clinico Universitario San Carlos
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 10 Jun, 2020
No community comments so far
First submitted
On 07 Jun, 2020
Editor assigned
On 07 Jun, 2020
Submission checks complete
On 06 Jun, 2020
Editor invited
On 06 Jun, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Anesthesiology & Pain Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Anxiety in children triggered by a scheduled surgical intervention is a major issue due to its frequency, and the short, medium and long term consequences.
Aim: To compare different scales to assess preoperative anxiety in children at various points in the build-up to a MAS procedure, and to correlate each with the scale used to assess compliance with anaesthesia induction.
Methods: An observational study was carried out on a cohort of children between 2-16 years old that were to undergo major outpatient surgery and whose anxiety was assessed on arrival to the hospital (M0), during transfer to the surgical unit (M1) and in the operating room during anaesthetic induction (M2). Anxiety in the parents (measured on the State-Trait Anxiety Inventory - STAI) and in the children (measured with the Spence Anxiety Scale - Paediatric (SCAS-P), the State-Trait Anxiety Inventory Children (STAIC) and preoperative anxiety measurement scale - m-YPAS) was assessed, and the Induction Compliance Checklist (ICC) was passed.
Results: The study cohort included 129 patients aged between 2 and 16 years (75.2% male, median age 6.3 years). Anxiety scores in m-YPAS rose as the children got closer to the surgery, being greater at the entrance to the surgical unit (M0 = 25.8 ± 8.4; M1 = 32.8 ± 19.0; M2 = 34.0 ± 21.5). The m-YPAS scale is closely correlated with the ICC scale at the preoperative M1 (0.567) and M2 stages (0.803).
Conclusions: Standard anxiety assessment scales are not able to predict the quality of anaesthetic induction. By contrast, the m-YPAS scale demonstrates that there is an increase in anxiety as the paediatric patient nears the surgical procedure and that it can predict a poor anaesthetic induction.