Perioperative medicine & outcomes

Virtual Reality–Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery: A Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Authors' conclusion

The findings of this study suggest that a VR-based intervention is a feasible and effective way to reduce preoperative anxiety in adult patients undergoing elective surgery.

Study context

Population
Adults ≥18 y scheduled for first elective surgery under GA within 2–4 weeks, preanesthesia assessment clinic, Hong Kong, July–December 2022
Participants
74 adults
Comparison
Intervention vs Control
  • Interventionn = 37
  • Controln = 37reference
Primary endpoint
Preoperative anxiety (Amsterdam Preoperative Anxiety and Information Scale, range 6-30; higher = greater anxiety)
Follow-up
T1 (end of clinical session, immediately after intervention) and T2 (before surgery)
Methodological detailsassessor-blinded, prospective
  • Assessor-blinded
  • Prospective

Primary result

As reported in the abstract

Preoperative anxiety

β

−5.46

95% CI −7.60 to −3.32; P < 0.001

T1

β

−5.57

95% CI −7.73 to −3.41; P < 0.001

T2

Secondary outcomes

Mean

OutcomeInterventionControlDifference (95% CI)P value
Satisfaction · after surgery (T3)81.35 (SD 9.24)65.28 (SD 8.16)16.07 (12.00–20.15)P < 0.001
Outcomeβ (95% CI)P value
Stress (VAS)T1−10.68 (−16.00 to −5.36)P < 0.001
Stress (VAS)T2−5.16 (−9.87 to −0.45)P = 0.03
Preparedness (VAS) · T16.60 (0.97–12.19)P = 0.02

Pain and postoperative LOS

No significant differences

Original publication

Virtual Reality–Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery: A Randomized Clinical Trial. JAMA Netw Open. Published 2 October 2023. doi:10.1001/jamanetworkopen.2023.40588

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