Pediatric anesthesia & critical care
Effects of virtual tour on perioperative pediatric anxiety
Authors' conclusion
Our study confirms previous studies that found virtual tours for perioperative patients may reduce perioperative anxiety and improve satisfaction. We found no impact on longer-term outcomes.
Study context
- Population
- Healthy children (ASA I–II) aged 4–12 scheduled for outpatient surgery
- Participants
- 125 children
- Comparison
- VT+ vs VT-
- VT+n = 61
- VT-n = 64reference
- Primary endpoint
- Preoperative anxiety in children (modified Yale Perioperative Anxiety Scale)
Methodological detailsprospective, single-center, blinded, parallel assignment, Five visits: two at the hospital, three by phone
- Prospective
- Single-center
- Blinded
- Parallel assignment
- Five visits: two at the hospital, three by phone
Primary result
As reported in the abstract
Yale Preoperative Anxiety Scale
| Group | Value | Median |
|---|---|---|
| VT+ | mean 27.26 | 23.4 (CI 95% 23.4-23.4) |
| VT- | mean 32.57 | 23.4 (CI 95% 23.4-33.4) |
Value
VT+mean 27.26
VT-mean 32.57
Median
VT+23.4 (CI 95% 23.4-23.4)
VT-23.4 (CI 95% 23.4-33.4)
- VT+ vs VT-: P = 0.0086
Further findings
| Outcome | P value |
|---|---|
| Parental satisfactionVT+ vs VT- · question one, higher in VT+ | P = 0.0213 |
| Parental satisfactionVT+ vs VT- · question three, higher in VT+ | P = <.0001 |
| Parental satisfactionVT+ vs VT- · question four, higher in VT+ | P = 0.0130 |
| Induction compliance (Induction Compliance Checklist)VT+ vs VT- · perfect compliance | P = 0.018 |
| Induction compliance (Induction Compliance Checklist)VT+ vs VT- · moderate compliance | P = 0.0428 |
Induction compliance (Induction Compliance Checklist)
- Anesthetic induction facilitated in VT+
Other variables (parental anxiety, emergence delirium, postoperative behavioral changes)
- No statistically significant differences
Original publication
Effects of virtual tour on perioperative pediatric anxiety. Paediatr Anaesth. Published 7 February 2023. doi:10. 1111/ pan. 14639
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