Preoperative preparation workshop reduces postoperative maladaptive behavior in children. Issue 10 (12th June 2015)

• Record Type: Journal Article
• Authors: Hilly, Julie; Hörlin, Anne‐Laure; Kinderf, Joelle; Ghez, Cecile; Menrath, Sabrina; Delivet, Honorine; Brasher, Christopher; Nivoche, Yves; Dahmani, Souhayl; Bosenberg, Adrian
• Is Part Of: Paediatric anaesthesia. Volume 25:Issue 10(2015)
• Page Start: 990
• Page End: 998
• Publication Date: 2015-06-12
• Subjects: Pediatric anesthesia -- Periodicals; 617.96798
• DOI: 10.1111/pan.12701
• Languages: English
• ISSNs: 1155-5645

Abstract

<abstract abstract-type="main" id="pan12701-abs-0001"> <title>Summary</title> <sec id="pan12701-sec-0001" sec-type="section"> <title>Introduction</title> <p>Postoperative maladaptive behaviors (POMBs) are common following pediatric anesthesia, and preoperative anxiety is associated with POMBs. A family‐centered preoperative preparation workshop was instituted with the aim of reducing the incidence of POMB and preoperative anxiety, and the study was constructed to evaluate its effectiveness.</p> </sec> <sec id="pan12701-sec-0002" sec-type="section"> <title>Material and methods</title> <p>A prospective cohort study was constructed, comparing patients who attended the workshop (workshop group) with patients who did not attend and who were matched for age and type of surgery (comparison group). Preoperative anxiety was measured using the mYPAS score, postoperative emergence agitation (EA) was measured using the PAED score, POMBs were assessed with the Post‐Hospital Behavior Questionnaire (PHBQ) on postoperative day 7, and PACU morphine consumption and PACU length of stay were recorded. Statistical analysis was performed employing the <italic>X</italic>² test, the Fisher's exact test, and the Mann–Whitney test as appropriate. Data were expressed as median [minimum, maximum].</p> </sec> <sec id="pan12701-sec-0003" sec-type="section"> <title>Results</title> <p>Fifty‐six patients from 3 to 18 years of age were recruited. Twenty‐seven patients in the workshop group were compared to 26 in the comparison group, after exclusions for missing data. Significant differences were demonstrated between groups for POMBs intensity (PHBQ score 2 [0; 9] vs 5 [0; 10], <italic>P</italic> = 0.008) and incidence (PHBQ score >6: 3.6% vs 35.7%, <italic>P</italic> = 0.003), and for mYPAS score (28 [23; 87] vs 37 [23;100], <italic>P</italic> = 0.015). No difference was found for EA, PACU morphine consumption, or PACU length of stay.</p> </sec> <sec id="pan12701-sec-0004" sec-type="section"> <title>Conclusion</title> <p>The workshop appears to result in reduced preoperative anxiety and POMBs.</p> </sec> </abstract>