Preoperative Anxiety in the Surgical Transfer and Waiting Area: A Cross-Sectional Mixed Method Study
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
References
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APAIS 7 [5 to 10] | VAS-A 3 [1 to 5] | COVI 3 [2 to 5] | |
---|---|---|---|
APAIS | 1 | ρ 0.65, p < 0.0001 | ρ 0.58, p < 0.0001 |
VAS-A | 1 | ρ 0.54, p < 0.0001 | |
COVI | 1 |
Univariable Analysis | Multivariable Analysis | |||||
---|---|---|---|---|---|---|
All Patients n (% of Total) | APAIS ≥ 11 n = 230 (24.7%) | APAIS < 11 n = 703 (75.3%) | p-Value | Odds Ratio (95%CI) | p-Value | |
Age, years | 61 [45 to 72] | 58 [41 to 70] | 62 [47 to 73] | 0.0107 | 0.99 (0.98 to 1.01) | 0.4263 |
Sex [F] | 435 (46.6%) | 141 (32.4%) | 294 (67.6%) | <.0001 | 2.29 (1.63 to 3.21) | <0.001 |
BMI, kg/m2 | 24.6 [21.6 to 27.7] | 24.22 [21.5 to 27.4] | 24.8 [21.6 to 27.9] | 0.3425 | 0.99 (0.96 to 1.02) | 0.5819 |
ASA class I vs. ≥ II | 280 (30%) | 87 (31.1%) | 193 (68.9%) | 0.0037 | 1.44 (0.93 to 2.23) | 0.0978 |
Inpatient setting (Y) | 588 (63.0%) | 157 (26.7%) | 431 (73.3%) | 0.0594 | 2.13 (1.34 to 3.39) | 0.0014 |
Hospitalisation > 24 h(Y) | 123 (13.2%) | 23 (18.7%) | 100 (81.3%) | 0.1158 | 0.71 (0.40 to 1.25) | 0.2357 |
Previous OR experience (Y) | 868 (93.1%) | 206 (23.7%) | 662 (76.7%) | 0.0348 | 0.56 (0.29 to 1.05) | 0.0698 |
Anxiolytic premedication (Y) | 114 (12.2%) | 34 (29.8%) | 80 (70.2%) | 0.2015 | 1.19 (0.73 to 1.96) | 0.4772 |
Pain (NS > 3) in the TWA (Y) | 160 (17.2%) | 50 (31.3%) | 110 (68.7%) | 0.0434 | 1.57 (1.04 to 2.37) | 0.0336 |
Procedures with preserved consciousness (Y) | 473 (50.7%) | 110 (23.3%) | 363 (76.7%) | 0.3242 | 0.80 (0.56 to 1.13) | 0.2056 |
Anticipated pain level associated with procedure | ||||||
No pain to light pain vs. moderate to severe pain | 413 (44.3%) | 81 (19.6%) | 332 (80.4%) | 0.0017 | 1.33 (0.87 to 2.03) | 0.1839 |
Arrival mode | ||||||
Walking | 71 (7.6%) | 17 (23.9%) | 54 (76.1%) | 1 | 1 (1 to 1) | 1 |
Wheelchair | 63 (6.8%) | 18 (28.6%) | 45 (71.4%) | 0.4512 | 0.97 (0.36 to 2.63) | 0.9453 |
Stretcher | 120 (12.8%) | 18 (15%) | 102 (85%) | 0.0088 | 0.29 (0.11 to 0.75) | 0.0110 |
Bed | 679 (72.8%) | 177 (26.1%) | 502 (73.9%) | 0.1055 | 0.42 (0.18 to 1.02) | 0.0543 |
Supine Position | 799 (85.6%) | 195 (24.4%) | 604 (75.6%) | 0.6658 | 0.36 (0.18 to 0.72) | 0.0035 |
Satisfaction with the arrival mode (Y) | 775 (83.1%) | 200 (25.8%) | 575 (74.2%) | 0.0847 | 1.14 (0.60 to 1.87) | 0.5977 |
VAS-A Changes | All Patients n = 933 | APAIS ≥ 11 n = 230 | APAIS ≤ 11 n = 703 | |
---|---|---|---|---|
Increase | 96 (10.29%) | 27 (11.7%) χ2 = 0.47 | 69 (9.8%) χ2 = 0.15 | p = 0.0003 * |
Decrease | 127 (13.61%) | 49 (21.3%) χ2 = 1 | 78 (11.1%) χ2 = 3.27 | |
No changes | 710 (76.1%) | 154 (67%) χ2 = 2.52 | 556 (79.1%) χ2 = 0.83 |
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Dziadzko, M.; Mazard, T.; Bonhomme, M.; Raffin, M.; Pradat, P.; Forcione, J.-M.; Minjard, R.; Aubrun, F. Preoperative Anxiety in the Surgical Transfer and Waiting Area: A Cross-Sectional Mixed Method Study. J. Clin. Med. 2022, 11, 2668. https://doi.org/10.3390/jcm11092668
Dziadzko M, Mazard T, Bonhomme M, Raffin M, Pradat P, Forcione J-M, Minjard R, Aubrun F. Preoperative Anxiety in the Surgical Transfer and Waiting Area: A Cross-Sectional Mixed Method Study. Journal of Clinical Medicine. 2022; 11(9):2668. https://doi.org/10.3390/jcm11092668
Chicago/Turabian StyleDziadzko, Mikhail, Tessa Mazard, Myriam Bonhomme, Mahé Raffin, Pierre Pradat, Jean-Marc Forcione, Raphael Minjard, and Frederic Aubrun. 2022. "Preoperative Anxiety in the Surgical Transfer and Waiting Area: A Cross-Sectional Mixed Method Study" Journal of Clinical Medicine 11, no. 9: 2668. https://doi.org/10.3390/jcm11092668
APA StyleDziadzko, M., Mazard, T., Bonhomme, M., Raffin, M., Pradat, P., Forcione, J.-M., Minjard, R., & Aubrun, F. (2022). Preoperative Anxiety in the Surgical Transfer and Waiting Area: A Cross-Sectional Mixed Method Study. Journal of Clinical Medicine, 11(9), 2668. https://doi.org/10.3390/jcm11092668