Comparation Of Different Scales To Assess Preoperative Anxiety In Children And Adolescent Undergoing Major Outpatient Surgery
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.
Posted 10 Jun, 2020
On 07 Jun, 2020
On 07 Jun, 2020
On 06 Jun, 2020
On 06 Jun, 2020
Comparation Of Different Scales To Assess Preoperative Anxiety In Children And Adolescent Undergoing Major Outpatient Surgery
Posted 10 Jun, 2020
On 07 Jun, 2020
On 07 Jun, 2020
On 06 Jun, 2020
On 06 Jun, 2020
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.