Pediatric anesthesia & critical care
Development and validation of a prediction model for preoperative anxiety in children aged 2–12 years old
Authors' conclusion
In this study, a clinical prediction model was developed and validated for the first time.
Study context
- Population
- Children aged 2–12 years undergoing elective surgery under GA
- Participants
- 340 vs 140
- Comparison
- Derivation vs Validation
- Derivationn = 340
- Validationn = 140
- Outcome
- High preoperative anxiety (modified Yale Preoperative Anxiety Scale score >30)
Methodological detailsbinary logistic regression, bootstrap internal validation, external validation
- Binary logistic regression
- Bootstrap internal validation
- External validation
Performance
As reported in the abstract
Model discrimination
| Test or model | AUC |
|---|---|
| Derivation | 0.961 (95% CI = 0.943-0.979) |
| Validation | 0.896 (95% CI = 0.842-0.950) |
AUC
Derivation0.961 (95% CI = 0.943-0.979)
Validation0.896 (95% CI = 0.842-0.950)
Further findings
Predictors in final model
| OR (95% CI) | ||
|---|---|---|
| Pharmacological intervention | 0.008 (0.002–0.025) | |
| Nonpharmacological intervention | 0.342 (0.104–1.127) | |
| Parental education level | 0.211 (0.108–0.411) | |
| Parental anxiety | 6.15 (2.396–15.786) | |
| Only child | 2.417 (1.065–5.488) | |
| History of surgery | 3.513 (1.137–10.860) | |
| Age | 0.692 (0.500–0.957) | |
| 0.050.21520Odds ratio (log scale) |
Original publication
Development and validation of a prediction model for preoperative anxiety in children aged 2–12 years old. Paediatr Anaesth. Published 11 November 2022. doi:10.
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