Pediatric anesthesia & critical care

Preoperative anxiety level is not associated with postoperative negative behavioral changes in premedicated children

Acta Anaesthesiol ScandPublished Secondary analysis of a randomised premedication trial

Authors' conclusion

Based on the findings from this cohort, high preinduction anxiety does not appear to be associated with NBCs postoperatively in children premedicated with clonidine or midazolam.

Study context

Population
Children aged 2–7 years undergoing outpatient surgery, premedicated with clonidine or midazolam
Participants
115 children
Comparison
High vs low preinduction anxiety (modified Yale Preoperative Anxiety Scale (mYPAS) >30) in children premedicated with clonidine or midazolam
  • High preinduction anxietyn = 54
Primary endpoint
Association between preoperative anxiety (mYPAS) and postoperative negative behavioral changes (NBCs; >3 on Post Hospital Behavior Questionnaire (PHBQ))
Follow-up
1 week after surgery
Methodological detailsplanned secondary analysis
  • Planned secondary analysis

Primary result

As reported in the abstract

Postoperative NBCs (>3) and association with high preinduction anxiety
Developed >3 postoperative negative behavioral changes (NBCs), of 115
19
Both high preinduction anxiety and >3 NBCs, of 19
10
No association between preinduction anxiety (mYPAS scores) and postoperative NBCs
p = .62

Further findings

Association of anxiety with NBCs at 4 and 26 weeks · 4- or 26-weeks post-surgery

No association

Other participant and preoperative factors

Only lower age associated with development of NBCs

Original publication

Preoperative anxiety level is not associated with postoperative negative behavioral changes in premedicated children. Acta Anaesthesiol Scand. Published 30 March 2023. doi:10.1111/aas.14240

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