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Predicting Intense Levels of Child Anxiety During Anesthesia Induction at Hospital Arrival |
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| Authors: | Eijlers Robin Staals Lonneke M. Legerstee Jeroen S. Berghmans Johan M. Strabbing Elske M. van der Schroeff Marc P. Wijnen René M. H. Kind Laura S. Hillegers Manon H. J. Dierckx Bram Utens Elisabeth M. W. J. |
| Affiliation: | 1.Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Centre, Sophia Children’s Hospital, Wytemaweg 8, Rotterdam, 3015 CN, The Netherlands ;2.Department of Anaesthesiology, Erasmus Medical Centre, Sophia Children’s Hospital, Rotterdam, The Netherlands ;3.Department of Anaesthesia, ZNA Middelheim, Queen Paola Children’s Hospital, Antwerp, Belgium ;4.Department of Oral and Maxillofacial Surgery, Erasmus Medical Centre, Sophia Children’s Hospital, Rotterdam, The Netherlands ;5.Dutch Craniofacial Centre, Erasmus Medical Centre, Sophia Children’s Hospital, Rotterdam, The Netherlands ;6.Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Centre-Sophia Children’s Hospital, Rotterdam, The Netherlands ;7.Intensive Care and Department of Paediatric Surgery, Erasmus Medical Centre-Sophia Children’s Hospital, Rotterdam, The Netherlands ;8.Centre for Special Care Dentistry, CBT Rijnmond, Rotterdam, The Netherlands ;9.Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands ;10.Academic Centre for Child Psychiatry De Bascule, Department of Child and Adolescent Psychiatry, Academic Medical Centre, Amsterdam, The Netherlands ; |
| Abstract: | In children, intense levels of anxiety during anesthetic induction are associated with a higher risk of pain, poor recovery, and emergence delirium. Therefore, it is important to identify these high-risk children at hospital arrival. The current study examined internalizing behavior (Child Behavior Checklist, CBCL) and state anxiety measures (modified Yale Preoperative Anxiety Scale, mYPAS, and State Trait Anxiety Inventory for Children, STAIC) at hospital arrival as predictors of anxiety during induction of anesthesia. One hundred children (aged 4 to 12 years) undergoing elective daycare surgery were included. The STAIC and mYPAS at hospital arrival were significant predictors of anxiety during induction, whereas CBCL was not. The STAIC state form at hospital arrival was the strongest predictor and could be used to identify children who will experience intense levels of anxiety during anesthetic induction, with sufficient to good diagnostic accuracy. Using the STAIC at hospital arrival allows targeted interventions to reduce anxiety in children. |
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