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Research Progress on Risk Factors of Preoperative Anxiety in Children: A Scoping Review

Weiwei Liu1,2, Rui Xu2, Ji'e Jia2

  • 1Faculty of Anesthesiology, Changhai Hospital, Naval Medical University, Shanghai 200433, China.

International Journal of Environmental Research and Public Health
|August 26, 2022
PubMed

Insights

Preoperative anxiety in children significantly impacts recovery. Key risk factors include younger age, parental anxiety, and prior negative hospital experiences, necessitating targeted interventions.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology

Background:

  • Preoperative anxiety in children negatively affects postoperative rehabilitation.
  • Anesthesiologists can identify and manage this anxiety for better outcomes.
  • A comprehensive evidence summary was lacking.

Purpose of the Study:

  • To conduct a scoping review of evidence on preoperative anxiety in children.
  • To identify risk factors and their impact on postoperative recovery and prognosis.

Main Methods:

  • Searched Medline databases from inception to March 2022.
  • Included primary studies on preoperative anxiety in children and its effects.
  • Analyzed 12 studies (n=3540 patients).

Main Results:

  • Incidence of preoperative anxiety ranged from 41.7% to 75.44%.
  • Identified 16 influencing factors, with 5 significant: younger age, parental anxiety, negative prior hospitalizations, less sociableness, and surgical setting.
  • Highlighted areas needing further research.

Conclusions:

  • Identified key risk factors for preoperative anxiety in children.
  • Emphasized the need for healthcare workers to identify and manage anxious children.
  • Called for large-scale clinical studies to address controversial factors.
Abstract

Keywords:
childrenpreoperative anxietyrisk factors

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