Incidence and risk factors related to anxiety of children and adolescents before elective surgery

Submitted: 6 March 2022
Accepted: 11 March 2022
Published: 13 May 2022
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The goal of this study was to evelaute the preoperative anxiety in children and adolescents and to identify some of the risk factors associated with the incidence of anxiety in 9–18 years old group. Children and adolescents 9–18 years old hospitalized the night before elective surgeries were analyzed in terms of incidence and severity of anxiety using the State-Trait Anxiety Inventory (STAI) measure. Of the 164 patients, 111 (67.6%) suffered from preoperative anxiety. The incidence of anxiety in children aged 9–12 was 2.88 times the anxiety of those aged 12–18 (OR = 2.88) (1.65, 5.98). Moreover, the incidence of anxiety in only children was 0.65 times that of children with siblings (OR = 0.78) (0.11,2.93) , and in patients with a history of hospitalization, the incidence was 1.85 times the stress in children without hospitalization history (OR = 1.85)(1.31,3.99); finally, the incidence of anxiety in children of higher socioeconomic status was lower compared with those of lower socioeconomic status (OR = 0.13) (0.08,0.35). Having close frend or family in the healthcare staff decreased the prevalence (OR = 0.64 (0.23,1.79) and severity of anxiety (47.02 ± 5.48 vs. 54.18 ± 7.18) (P-value = 0.001). There was no relationship between gender and the incidence of anxiety (OR = 1). Incidence of preoperative anexiety in foriner was1.72 times of persion patients (OR=1.72) (0.99,4.25). The severity of anxiety was lower in boys (46.22 ± 6.68) compared with girls (52.55 ± 7.52) (P-value = 0.002) and lower in patients of medium-to-high socioeconomic status (43.64 ± 5.45) compared with those with lower socioeconomic status (49.66 ± 6.49) (P-value = 0.003). There was no relationship between being an only child and severity of anxiety (P-value = 0.54) (48.31 ± 5.05 vs. 48.12 ± 6.81). However, anxiety was more severe in patients with a history of hospitalization (50.55 ± 4.64) (49.2 ± 6.23) (P-value = 0.09). Severity of anexiety was not dependent to nationality of patients(P-value = 0.6) .Taken together, our data suggest that various methods should be used to reduce anxiety and associated complications, regarding the high prevalence of anxiety in mentioned groups of children and adolescents.

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Tolksdorf W. Der präoperative Streß-Forschungsansätze und Behandlungsmethoden. AINS-Anästhesiologie Intensivmedizin·Notfall medizin Schmerztherapie. 1997;32 (S 3):S318-S24. DOI: https://doi.org/10.1055/s-2007-995183
Zemła AJ, Nowicka-Sauer K, Jarmoszewicz K, Wera K, Batkiewicz S, Pietrzykowska M. Measures of preoperative anxiety. Anaesthesiol Intensive Ther. 2019;51(1):64-69. DOI: https://doi.org/10.5603/AIT.2019.0013
Ruis C, Wajer IH, Robe P, van Zandvoort M. Anxiety in the preoperative phase of awake brain tumor surgery. Clin Neurol Neurosurg. 2017 Jun;157:7-10. Epub 2017 Mar 23. DOI: https://doi.org/10.1016/j.clineuro.2017.03.018
Hellstadius Y, Lagergren J, Zylstra J, Gossage J, Davies A, Hultman CM, Lagergren P, Wikman A. Prevalence and predictors of anxiety and depression among esophageal cancer patients prior to surgery. Dis Esophagus. 2016 Nov;29(8):1128-1134. Epub 2015 Nov 6. DOI: https://doi.org/10.1111/dote.12437
Tosun B, Yava A, Açıkel C. Evaluating the effects of preoperative fasting and fluid limitation. Int J Nurs Pract. 2015 Apr;21(2):156-65. Epub 2014 Feb 28. DOI: https://doi.org/10.1111/ijn.12239
Bradt J, Dileo C, Shim M. Music interventions for preoperative anxiety. Cochrane Database Syst Rev. 2013 Jun 6;(6):CD006908. CD006908.pub2. DOI: https://doi.org/10.1002/14651858.CD006908.pub2
Fortier MA, Martin SR, Chorney JM, Mayes LC, Kain ZN. Preoperative anxiety in adolescents undergoing surgery: a pilot study. Paediatr Anaesth. 2011 Sep;21(9):969-73. Epub 2011 Apr 25. DOI: https://doi.org/10.1111/j.1460-9592.2011.03593.x
Perry JN, Hooper VD, Masiongale J. Reduction of preoperative anxiety in pediatric surgery patients using age-appropriate teaching interventions. J Perianesth Nurs. 2012 Apr;27(2):69-81. DOI: https://doi.org/10.1016/j.jopan.2012.01.003
Abhik K. Biswas WAS, John F. Sommerauer, Peter M. Luckett. Heart rate variability after acute traumatic brain injury in children. Critical Care Medicine. 2000;28(12):3907-12. DOI: https://doi.org/10.1097/00003246-200012000-00030
Litke J, Pikulska A, Wegner T. Management of perioperative stress in children and parents. Part I-the preoperative period. Anaesthesiol Intensive Ther. 2012 Jul-Sep;44(3):165-9.
Long EO, Rajagopalan S. Stress signals activate natural killer cells. J Exp Med. 2002 Dec 2;196(11):1399-402. DOI: https://doi.org/10.1084/jem.20021747
Dahmani S, Delivet H, Hilly J. Emergence delirium in children: an update. Current Opinion in Anesthesiology. 2014;27(3):309-15. DOI: https://doi.org/10.1097/ACO.0000000000000076
Lazor T, Tigelaar L, Pole JD, De Souza C, Tomlinson D, Sung L. Instruments to measure anxiety in children, adolescents, and young adults with cancer: a systematic review. Support Care Cancer. 2017 Sep;25(9):2921-2931. Epub 2017 Jun 3. DOI: https://doi.org/10.1007/s00520-017-3743-3
Jlala HA, French JL, Foxall GL, Hardman JG, Bedforth NM. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. Br J Anaesth. 2010 Mar;104(3):369-74. Epub 2010 Feb 1. DOI: https://doi.org/10.1093/bja/aeq002
Franzoi MA, Goulart CB, Lara EO, Martins G. Music listening for anxiety relief in children in the preoperative period: a randomized clinical trial. Rev Lat Am Enfermagem. 2016 Dec 19;24:e2841. DOI: https://doi.org/10.1590/1518-8345.1121.2841
Yardakçı R, Akyolcu N. The effect of the visits made preoperative period on the patients’ anxiety level. Journal of Nursing Research Development (HEMAR-G). 2004;6:7-14.
O'Sullivan M, Wong GK. Preinduction techniques to relieve anxiety in children undergoing general anaesthesia. Continuing Education in Anaesthesia, Critical Care & Pain. 2013;13(6):196-9. DOI: https://doi.org/10.1093/bjaceaccp/mkt014
Getahun AB, Endalew NS, Mersha AT, Admass BA. Magnitude and Factors Associated with Preoperative Anxiety Among Pediatric Patients: Cross-Sectional Study. Pediatric Health Med Ther. 2020 Dec 16;11:485-494. DOI: https://doi.org/10.2147/PHMT.S288077
Chow CH, Van Lieshout RJ, Schmidt LA, Dobson KG, Buckley N. Systematic Review: Audiovisual Interventions for Reducing Preoperative Anxiety in Children Undergoing Elective Surgery. J Pediatr Psychol. 2016 Mar;41(2):182-203. Epub 2015 Oct 17. DOI: https://doi.org/10.1093/jpepsy/jsv094
Sadegh Tabrizi J, Seyedhejazi M, Fakhari A, Ghadimi F, Hamidi M, Taghizadieh N. Preoperative Education and Decreasing Preoperative Anxiety Among Children Aged 8 - 10 Years Old and Their Mothers. Anesth Pain Med. 2015 Aug 22;5(4):e25036. DOI: https://doi.org/10.5812/aapm.25036
Li HC, Lam HY. Paediatric day surgery: impact on Hong Kong Chinese children and their parents. J Clin Nurs. 2003 Nov;12(6):882-7. DOI: https://doi.org/10.1046/j.1365-2702.2003.00805.x
Erkilic E, Kesimci E, Soykut C, Doger C, Gumus T, Kanbak O. Factors associated with preoperative anxiety levels of Turkish surgical patients: from a single center in Ankara. Patient Prefer Adherence. 2017 Feb 28;11:291-296. DOI: https://doi.org/10.2147/PPA.S127342
Sari Ş, Şen tunç E, Bilgin Z. Çocuklarda dental kaygının farklı test yöntemleri ile değerlendirilmesi: Karşılaştırmalı bir çalışma. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2002;29(2):127-35.
Akca SO, Gozen D, Akpinar YY. The effects of pre-op trainning on the anxiety levels of children in Corum/Turkey. Rev Assoc Med Bras (1992). 2015 Mar-Apr;61(2):121-5. DOI: https://doi.org/10.1590/1806-9282.61.02.121
Charana A, Tripsianis G, Matziou V, Vaos G, Iatrou C, Chloropoulou P. Preoperative Anxiety in Greek Children and Their Parents When Presenting for Routine Surgery. Anesthesiol Res Pract. 2018 Jul 2;2018:5135203. DOI: https://doi.org/10.1155/2018/5135203
Hussain A, Khan FA. Effect of Two Techniques of Parental Interaction on Children's Anxiety at Induction of General Anaesthesia-A Randomized Trial. Turk J Anaesthesiol Reanim. 2018 Aug;46(4):305-310. Epub 2018 Aug 1. DOI: https://doi.org/10.5152/TJAR.2018.66750
Pulsawat P. Preoperative anxiety in children undergoing urethral dilatation procedure in King Chulalongkorn Memorial Hospital. Thai J Anesthesiol. 2018;44(4):149-56.
Vagnoli L, Caprilli S, Robiglio A, Messeri A. Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study. Pediatrics. 2005 Oct;116(4):e563-7. DOI: https://doi.org/10.1542/peds.2005-0466
Davidson AJ, Shrivastava PP, Jamsen K, Huang GH, Czarnecki C, Gibson MA, Stewart SA, Stargatt R. Risk factors for anxiety at induction of anesthesia in children: a prospective cohort study. Paediatr Anaesth. 2006 Sep;16(9):919-27. DOI: https://doi.org/10.1111/j.1460-9592.2006.01904.x
Fortier MA, Del Rosario AM, Martin SR, Kain ZN. Perioperative anxiety in children. Paediatr Anaesth. 2010 Apr;20(4):318-22. Epub 2010 Feb 23. DOI: https://doi.org/10.1111/j.1460-9592.2010.03263.x
Caumo W, Broenstrub JC, Fialho L, Petry SM, Brathwait O, Bandeira D, Loguercio A, Ferreira MB. Risk factors for postoperative anxiety in children. Acta Anaesthesiol Scand. 2000 Aug;44(7):782-9. DOI: https://doi.org/10.1034/j.1399-6576.2000.440703.x
Domar AD, Everett LL, Keller MG. Preoperative anxiety: is it a predictable entity? Anesth Analg. 1989 Dec;69(6):763-7. DOI: https://doi.org/10.1213/00000539-198912000-00013
Roomruangwong C, Tangwongchai S, Chokchainon A. Preoperative anxiety among patients who were about to receive uterine dilatation and curettage. J Med Assoc Thai. 2012 Oct;95(10):1344-51.
Srahbzu M, Yigizaw N, Fanta T, Assefa D, Tirfeneh E. Prevalence of depression and anxiety and associated factors among patients visiting orthopedic outpatient clinic at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia. 2017. J Psychiatry. 2018;21:2. DOI: https://doi.org/10.4172/2378-5756.1000450
Jafar MF, Khan FA. Frequency of preoperative anxiety in Pakistani surgical patients. J Pak Med Assoc. 2009 Jun;59(6):359-63.

How to Cite

Ahmadipour, M., Sattari, H., & Nejad, M. A. (2022). Incidence and risk factors related to anxiety of children and adolescents before elective surgery. European Journal of Translational Myology, 32(2). https://doi.org/10.4081/ejtm.2022.10449