[Risk factors of anxiety during anesthesia induction in children undergoing eye and ear-nose-throat surgery]

Area of Science:

• Pediatric Anesthesiology
• Surgical Anxiety Assessment
• Risk Factor Analysis in Children

Background:

• Anesthesia induction in children can be a source of significant anxiety.
• Identifying risk factors is crucial for developing targeted interventions.
• Previous research has explored various factors, but specific focus on eye and ENT surgeries is needed.

Purpose of the Study:

• To investigate the key risk factors associated with anxiety during anesthesia induction in pediatric patients undergoing eye and ear-nose-throat (ENT) surgeries.
• To determine the predictive value of preoperative anxiety assessments in this surgical population.

Main Methods:

• A retrospective study analyzed clinical data from 930 children undergoing eye and ENT surgeries.
• Anxiety during anesthesia induction was the primary outcome variable.
• Logistic regression analysis was employed to identify risk factors, including demographic data, anxiety scores (Modified Yale Preoperative Anxiety Scale - mYPAS), and sedation status.

Main Results:

• 6.0% of children experienced anxiety during anesthesia induction.
• Univariate analysis identified age, preoperative anxiety grading (mild, moderate, severe), mYPAS score, and sedation score as significant factors.
• Multivariate analysis confirmed that the child's medical evaluation anxiety grading (moderate and severe) was a significant predictor of induction period anxiety.

Conclusions:

• Preoperative anxiety grading of children by medical evaluation is a critical predictor of anxiety during anesthesia induction.
• These findings highlight the importance of thorough preoperative anxiety assessment in pediatric surgical patients.
• Targeted interventions based on anxiety grading can potentially mitigate perioperative distress in children undergoing eye and ENT procedures.