Perioperative medicine & outcomes
Augmented Reality for Perioperative Anxiety in Patients Undergoing Surgery: A Randomized Clinical 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
| Outcome | AR | Standard care | P 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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