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Predictors of Pre-operative Anxiety in Indian Children

Ritu Malik1, Sandhya Yaddanpudi1, Nidhi Bidyut Panda1

  • 1Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.

Indian Journal of Pediatrics
|January 27, 2018
PubMed

Insights

Pre-operative anxiety is common in Indian children undergoing surgery. Parental anxiety and socioeconomic status significantly predict a child's anxiety levels before surgery.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Socioeconomic Determinants of Health

Background:

  • Pre-operative anxiety is a significant concern in pediatric surgical patients.
  • Understanding predictors is crucial for developing targeted interventions.

Purpose of the Study:

  • To identify predictors of pre-operative anxiety in school-going children in India.
  • To analyze factors within individual, social, and healthcare domains.

Main Methods:

  • Prospective observational study at a tertiary care hospital.
  • Inclusion of children aged 7-12 years scheduled for elective surgery and their parents.
  • Assessment of child and parental anxiety using STAI-C and STAI-P questionnaires, and child anxiety using the m-YPAS scale.

Main Results:

  • High anxiety incidence increased from pre-operative assessment (48%) to anesthetic induction (95%).
  • Parental anxiety (p=0.03) and socioeconomic background (p=0.03) were significant predictors of child's pre-operative anxiety.
  • Poor mask induction quality was associated with more than 4 people present at induction (p=0.002).

Conclusions:

  • Peri-operative anxiety is prevalent in Indian children.
  • Parental anxiety and socioeconomic background are key predictors of pre-operative anxiety in this population.
Abstract

Keywords:
Anesthetic inductionDeveloping country settingPediatric anesthesiaPre-operative anxietyPredictors of anxiety

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