Pediatric anesthesia & critical care

Effects of virtual tour on perioperative pediatric anxiety

Paediatr AnaesthPublished Randomised controlled trial

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
GroupValueMedian
VT+mean 27.2623.4 (CI 95% 23.4-23.4)
VT-mean 32.5723.4 (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

OutcomeP 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 complianceP = 0.018
Induction compliance (Induction Compliance Checklist)VT+ vs VT- · moderate complianceP = 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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