Perioperative medicine & outcomes

Augmented Reality for Perioperative Anxiety in Patients Undergoing Surgery: A Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Authors' conclusion

In this randomized clinical trial, the use of AR decreased preoperative anxiety compared with traditional perioperative education and handouts, but there was no significant effect on postoperative anxiety, pain levels, or narcotic use.

Study context

Population
Patients undergoing elective orthopedic surgery at an outpatient surgery center, 2021 to 2022included in final analysis
Participants
95 patients
Comparison
Augmented reality (AR) walkthrough vs standard educational packet
  • ARn = 46
  • Standard caren = 49reference
Primary endpoint
Change in State-Trait Anxiety Inventory (STAI) from screening survey to preoperative survey
Methodological detailsper-protocol analysis, single-centre
  • Per-protocol analysis
  • Single-centre

Primary result

As reported in the abstract

AR

−2.4

mean score change · 95% CI −4.6–-0.3

Standard care

2.6

mean score change · 95% CI 0.2–4.9

P = 0.01

Further findings

Mean change

OutcomeARStandard careP value
Postoperative anxiety change vs screening survey−5.4 (95% CI −7.9–-2.9)−6.9 (95% CI −11.5–-2.2)P = 0.32
Postoperative anxiety change vs preoperative survey−8.0 (95% CI −10.3–-5.7)−4.2 (95% CI −8.6–0.2)P = 0.19

Patient experience of AR (agreed or strongly agreed) · postoperative follow-up

Enjoyed the experience
30 (71.4%)
Would recommend the experience
29 (69.0%)
Would use the experience again
28 (66.7%)
  • 42 AR patients completed the follow-up survey

Postoperative pain levels and narcotic use

No differences observed

Original publication

Augmented Reality for Perioperative Anxiety in Patients Undergoing Surgery: A Randomized Clinical Trial. JAMA Netw Open. Published 1 August 2023. doi:10.1001/jamanetworkopen.2023.29310

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