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High anxiety, young age and long waits increase the need for preoperative sedatives in children

J E Kim1, B Y Jo, H M Oh

  • 1Department of Anaesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

The Journal of International Medical Research
|September 14, 2012
PubMed

Insights

Younger children with higher anxiety levels (using the modified Yale Preoperative Anxiety Scale) and longer waiting times are more likely to need sedation before surgery. This helps predict which pediatric patients require preoperative sedation.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Surgical Patient Assessment

Background:

  • Preoperative anxiety in children can lead to distress and necessitate sedation.
  • Identifying predictive factors for sedation is crucial for optimizing perioperative care.

Purpose of the Study:

  • To identify children likely to require preoperative sedation.
  • To evaluate the modified Yale Preoperative Anxiety Scale (mYPAS) in predicting sedation needs.
  • To investigate other potential predictors of preoperative sedation.

Main Methods:

  • Prospective observational study of 455 children aged 2-12 years undergoing surgery.
  • Anxiety measured using the modified Yale Preoperative Anxiety Scale (mYPAS) before separation from parents.
  • Receiver operating characteristic (ROC) curve analysis to determine the predictive ability of mYPAS.

Main Results:

  • An optimal mYPAS cut-off score of 41.7 was identified for predicting the need for sedatives.
  • Multivariate logistic regression identified age, mYPAS score > 40, and waiting time as independent predictors.
  • These factors significantly predicted the requirement for sedative administration.

Conclusions:

  • High anxiety levels, younger age, and longer waiting times are key contributors to the need for preoperative sedation in pediatric surgical patients.
  • The mYPAS is a valuable tool for assessing anxiety and predicting sedation requirements.
  • These findings can inform clinical practice for managing preoperative anxiety in children.
Abstract

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