Pediatric anesthesia & critical care

The Impact of the Presence of Both Parents on Perioperative Anxiety in Children Undergoing Adenotonsillectomy Surgery: A Randomized Clinical Trial

Acta Anaesthesiol ScandPublished Randomised controlled trial

Authors' conclusion

This study demonstrated that the presence of both parents reduced the anxiety of the child in both the preoperative period and during anesthesia induction.

Study context

Population
Children aged 5–12 years undergoing elective day-case otolaryngological surgery (adenotonsillectomy)
Participants
80 children
Comparison
Group 1 vs Group 2
  • Group 1n = 40reference
  • Group 2n = 40
Primary endpoint
Child anxiety (mYPAS)
Follow-up
Preoperative waiting area and anesthesia induction

Primary result

As reported in the abstract

mYPAS score
Group 2 vs Group 1Mean difference (95% CI)
Preoperative waiting area
5.8(−4.5 to 13.5)
Anesthesia induction
7.5(0.0–15.0)

Further findings

OutcomeMean difference (95% CI)
PAED score−1.5 (−4.5 to 1.5)

Pediatric Anesthesia Emergence Delirium (PAED) score

Mean PAED scores similar in both groups

Incidence of emergence delirium and parental State-Trait Anxiety Inventory (STAI) anxiety scores

Similar in both groups

Original publication

The Impact of the Presence of Both Parents on Perioperative Anxiety in Children Undergoing Adenotonsillectomy Surgery: A Randomized Clinical Trial. Acta Anaesthesiol Scand. Published 21 December 2025. doi:10.1111/aas.70167

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