Pediatric anesthesia & critical care

Predicting Anxiety in Children Aged 2–6 During Preoperative Anesthesia Consultation—A Prospective Observational Study

Paediatr AnaesthPublished Prospective observational study

Authors' conclusion

Anxiety at induction remains difficult to predict during preoperative consultation. While parents performed slightly better than anesthesiologists, both lack sufficient precision.

Study context

Population
Children aged 2–6 years undergoing elective proceduresprediction sets analysed
Participants
92 children
Exposure
Parents vs Anesthesiologists
Outcome
Accuracy of predicted vs observed anxiety at anesthesia induction (mYPAS-SF), by Spearman's correlation and ROC analysis
Follow-up
Anesthesia induction

Main finding

As reported in the abstract

Correlation and predictive performance of predicted vs observed anxiety
GroupRsAUC
Parents0.220 (95% CI 0.01-0.41)0.643
Anesthesiologists0.106 (95% CI −0.11-0.31)0.517

Rs

Parents0.220 (95% CI 0.01-0.41)
Anesthesiologists0.106 (95% CI −0.11-0.31)

AUC

Parents0.643
Anesthesiologists0.517

Observational data: associations, not effects.

Further findings

Median

OutcomeResponded positively to a greeting ('high-five')Did not respond positively to a greetingP value
Observed anxiety at anesthesia induction (mYPAS-SF) by response to a greeting ('high-five') during consultationSignificantly lower anxiety with positive response34.4 (range as printed 22.9–65.1)75.0 (range as printed 45.8–90.6)P < 0.001

Predictors of significant anxiety (Modified Yale Preoperative Anxiety Scale-Short Form (mYPAS-SF) > 30) · anesthesia induction

Significant anxiety associated with younger age of children and parents, migration background, and inhalational induction

Original publication

Predicting Anxiety in Children Aged 2–6 During Preoperative Anesthesia Consultation—A Prospective Observational Study. Paediatr Anaesth. Published 9 December 2025. doi:10.1002/pan.70101

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