Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children
| Autor: | Delphine Beauvais, Lucile Marsac, Souhayl Dahmani, Adelaide Mialot, Thomas Vacher, Honorine Delivet, Daphné Michelet, Christopher Brasher |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent media_common.quotation_subject Anxiety Logistic regression 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Anesthesiology Humans Medicine Personality Anesthesia Prospective Studies Child Prospective cohort study media_common business.industry Attendance Mental health Anesthesiology and Pain Medicine Pediatrics Perinatology and Child Health Female France medicine.symptom business Pediatric anesthesia 030217 neurology & neurosurgery |
| Zdroj: | Pediatric Anesthesia. 28:987-998 |
| ISSN: | 1155-5645 |
| DOI: | 10.1111/pan.13492 |
| Popis: | Background Preventive strategies are available to reduce preoperative anxiety in children, the ideal time for implementing such strategies remains poorly determined. Aims The aim of this study was to determine psychological factors and events involved in the development of preoperative anxiety in children. Methods This study consisted of prospective evaluations of anxiety trait and state during the preoperative period. Attendance at a preanesthetic consultation is obligatory for all patients undergoing surgery in France. Anxiety trait and state assessments were quantified in mothers and children before and after the preanesthetic consultation using visual analog and faces numerical scales. Preoperative anxiety in children was assessed immediately before induction of anesthesia using an analog scale. Other data recorded included demographic and medical data and type of hospital stay. Univariate and multivariate logistic regression analyses were used. Results Overall 111 consecutive patients were included. The following factors emerged leading to anxiety state at induction of anesthesia: maternal anxiety state before the preanesthetic consultation, a feeling of not being reassured by the anesthesiologist, maternal anxiety state after the consultation, and anxiety trait in the child. Logistic regression found this combination of factors (OR = 4 [1.4 -12]) and inpatient stay (OR = 3 [1.4-7]), predicting anxiety with an accuracy of 69%. Conclusion The present study identified a combination of psychological factors and events associated with the development of anxiety at induction of anesthesia in children. Parental anxiety impacts upon children and occurs before the preanesthetic consultation. This result may assist clinicians to prescribe personalized preventive strategies against anxiety. |
| Databáze: | OpenAIRE |
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