Perioperative medicine & outcomes
Virtual Reality–Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery: A Randomized Clinical 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
| Outcome | Intervention | Control | Difference (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 | |
| −100102030Difference (linear scale) |
| Outcome | β (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) · T1 | 6.60 (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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