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Preoperative Anxiety in Adult Patients Undergoing Day Care Surgery: Prevalence and Associated Factors
Meghna Jiwanmall1, Stephen A Jiwanmall2, Aparna Williams1
1Department of Anaesthesiology, Christian Medical College, Vellore, Tamil Nadu, India.
Background:
There is a paucity of data related to anxiety levels in patients undergoing day care surgery in India.
Methods:
Preoperative anxiety was assessed using Amsterdam Preoperative Anxiety and Information Scale (APAIS) 1 day before surgery and on the day of surgery, and the patients were categorized as cases (APAIS score ≥13) and controls (APAIS score <13). Sociodemographic characteristics, clinical features, and fears associated with anesthesia and surgery were also noted.
Results:
Out of the 399 patients recruited, 58.1% experienced significant preoperative anxiety. The fear of needles (P = 0.002), fear of waking up during the surgery (P < 0.001), and the patient's need of additional information regarding anesthesia and surgery (P < 0.001) were significantly associated with preoperative anxiety.
Conclusion:
A significant proportion of patients scheduled for day care surgery have preoperative anxiety. A preanesthetic workup of a patient with adequate clarification about their doubts and fears related to anesthesia and surgery is recommended to bring down the level of anxiety.
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