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Parental perception on the effects of early exposure to anaesthesia on neurodevelopment
J H Koh1, P Daniel1, C L Bong2
1National University of Singapore, Yong Loo Lin School of Medicine, Singapore.
Insights
Many parents worry about general anesthesia
Area of Science:
- Pediatric Anesthesiology
- Neurodevelopmental Pediatrics
- Child Psychology
Background:
- Conflicting research exists on general anesthesia's impact on child neurodevelopment.
- Parental concerns about potential neurodevelopmental effects are significant.
- Limited parental awareness of existing information on this topic.
Purpose of the Study:
- To explore parental knowledge, concerns, and perceptions regarding general anesthesia and child neurodevelopment.
- To identify factors influencing parental willingness to enroll children in related research.
- To assess the prevalence of parental concerns about anesthesia's neurodevelopmental effects.
Main Methods:
- A questionnaire was administered to 200 parents.
- Data collected on parental concerns, knowledge sources, and research participation willingness.
- Analysis of factors associated with parental concern levels.
Main Results:
- 40% of parents expressed concern about general anesthesia affecting child neurodevelopment.
- Concerns often stemmed from personal beliefs rather than prior information (25.5% encountered info).
- Younger children (≤2 years), prior anesthesia exposure, and prior information exposure increased concern.
Conclusions:
- A majority of parents (68%) are willing to participate in research, especially if results are shared.
- Anesthesiologists should proactively address parental misconceptions about anesthesia and neurodevelopment.
- Targeted communication strategies are needed to inform parents about anesthesia safety and research.
Abstract:
Several studies have investigated the effects of general anaesthesia on neurodevelopment in children, with conflicting results. The potential for early general anaesthesia exposure to impact neurodevelopment in children may cause significant concern for parents. Administering a questionnaire in 200 parents, we aimed to explore their knowledge, concerns and perceptions, and determine factors which influence parents' willingness for their children to participate in relevant research studies. A significant proportion of parents (40%) were concerned that general anaesthesia may affect their child's neurodevelopment. Generally these concerns arose from the parents' own beliefs or preconceived ideas and only 25.5% had encountered prior information in this domain. Parents with children aged 2 years or younger, those whose children had previous general anaesthesia exposure, and those who had encountered information about potential neurodevelopmental effects were most likely to be concerned. The majority of parents (68%) would agree to participate in research studies, especially if they were able to receive the test results. Anaesthetists should pre-emptively initiate discussions to address any potential misconceptions regarding the effects of general anaesthesia on neurodevelopment in children.
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