Evidence map›Paper›PMID 35075716›Full record

SynthesisJournal of clinical nursing2022

Effect of a game-based intervention on preoperative pain and anxiety in children: A systematic review and meta-analysis.

Nora Suleiman-Martos, Rubén A García-Lara, María J Membrive-Jiménez, Laura Pradas-Hernández, José L Romero-Béjar, Germán Dominguez-Vías, José L Gómez-Urquiza

Open access · hybridAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of clinical nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 8 pooled it
22.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 8 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Nora Suleiman-MartosNursing Department, Faculty of Health Sciences, University of Granada, Ceuta, Spain.ORCID https://orcid.org/0000-0003-4133-0092
Rubén A García-LaraGranada-Northeast Health Management Area, Andalusian Health Service, Granada, Spain.
María J Membrive-JiménezNational Institute of Health Management, Ceuta University Hospital, Ceuta, Spain.ORCID https://orcid.org/0000-0003-1074-1462
Laura Pradas-HernándezAndalusian Health Service, San Cecilio Clinical University Hospital, Granada, Spain.
José L Romero-BéjarStatistics and Operational Research Department, University of Granada, Granada, Spain.ORCID https://orcid.org/0000-0002-5310-9638
Germán Dominguez-VíasPhysiology Department, Faculty of Health Sciences, University of Granada, Ceuta, Spain.
José L Gómez-UrquizaNursing Department, Faculty of Health Sciences, University of Granada, Granada, Spain.ORCID https://orcid.org/0000-0002-8684-1817
Universidad de Granada · ESAndalusian Health Service · ESOmuta hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGames are increasingly being used as a means of alleviating pain and anxiety in paediatric patients, in the view that this form of distraction is effective, non-invasive and non-pharmacological.

aimsTo determine whether a game-based intervention (via gamification or virtual reality) during the induction of anaesthesia reduces preoperative pain and anxiety in paediatric patients.

methodsA systematic review with meta-analysis of randomised controlled trials was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and using RevMan software. The review was based on a search of the EMBASE, CINAHL, Medline, SciELO and Scopus databases, conducted in July 2021. No restriction was placed on the year of publication.

results26 studies were found, with a total study population of 2525 children. Regarding pain reduction, no significant differences were reported. For anxiety during anaesthesia induction, however, a mean difference of -10.62 (95% CI -13.85, -7.39) on the Modified Yale Preoperative Anxiety Scale, in favour of game-based intervention, was recorded.

conclusionsGame-based interventions alleviate preoperative anxiety during the induction of anaesthesia in children. This innovative and pleasurable approach can be helpful in the care of paediatric surgical patients. RELEVANCE TO CLINICAL PRACTICE: In children, preoperative management is a challenging task for healthcare professionals, and game-based strategies could enhance results, improving patients' emotional health and boosting post-surgery recovery. Distractive games-based procedures should be considered for incorporation in the pre-surgery clinical workflow in order to optimise healthcare.

Indexed as

Anesthesia, GeneralAnxietyAnxiety DisordersChildEmotionsHumansPainanxietychildrengamepainperioperative carevirtual reality

Identifiers

PMID35075716
PMCPMC9787560
OpenAlexW4206968227

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.