ArticleWorld journal of surgery2022
Preoperative Anxiety in Chinese Adult Patients Undergoing Elective Surgeries: A Multicenter Cross-Sectional Study.
Article in World journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of Virtual Reality-Based Interventions on Preoperative Anxiety in Patients Undergoing Elective Surgery With Anesthesia: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Factors associated with changes in the quality of postoperative recovery after laparoscopic colorectal cancer surgery in women: a linear mixed-effects analysis.Journal of anesthesia · 2026Trial
- Effects of dexmedetomidine nasal spray on perioperative anxiety and quality of postoperative recovery in patients undergoing modified radical mastectomy for breast cancer.Frontiers in medicine · 2026Trial
- The Effectiveness of Digital Animation-Based Multistage Education for Patients With Atrial Fibrillation Catheter Ablation: Randomized Clinical Trial.Journal of medical Internet research · 2025Trial
- Virtual Reality-Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery: A Randomized Clinical Trial.JAMA network open · 2023Trial
- A randomised pilot study evaluating music therapy and virtual reality mindfulness sessions for reducing anxiety and stress in patients undergoing first-time elective cardiac surgery.Journal of perioperative practiceTrial
- Effects of immersive virtual reality and non-immersive video distraction on preoperative anxiety in patients undergoing elective abdominal surgery: a three-arm randomised controlled trial.Surgical endoscopy · 2026Article
- Prevalence and predictors of high preoperative anxiety among adults undergoing elective surgery in Eastern Nepal: a multicenter cross-sectional study.Annals of medicine and surgery (2012) · 2026Article
- Perioperative Anxiety in Adults: A Narrative Review of Pathophysiology, Assessment, and Multimodal Management Strategies.Healthcare (Basel, Switzerland) · 2026Review
- Preoperative Anxiety and Postoperative Delirium: A Mini Review of the Association, Mechanisms, and Preventive Strategies.Journal of multidisciplinary healthcare · 2026Review
- Perioperative Anxiety and Stress Cortisol on Postoperative Pain: Pharmacological and Non-Pharmacological Management Strategies.Journal of surgery and research · 2026Article
- Preoperative anxiety in patients undergoing minimally invasive thoracic surgery: A prospective study of predictors and Patient-Reported concerns.Scientific reports · 2025Article
- Association of heart rate variability with preoperative acute insomnia in patients scheduled for elective surgery.Frontiers in neurology · 2025Article
- Environmental noise and self-rated health in older surgical patients undergoing general anesthesia: a cross-sectional study of anxiety as a behavioral pathway for healthy aging.Frontiers in public health · 2025Article
- Auricular Plaster Therapy for Preoperative Anxiety in Major Surgery: A Prospective Matched-Cohort Study of Total Knee Arthroplasty and Pancreaticoduodenectomy Patients.Journal of pain research · 2025Article
- Optimal Propofol Dose with Oxycodone for Visceral Pain Relief in Anxious Patients Undergoing Abortion: A Clinical Trial Report.Drug design, development and therapy · 2025Article
- ERAS-Based Anesthetic Management of Patients Undergoing Abdominal-Based Free Flap Breast Reconstruction: A Narrative Review.JPRAS open · 2024Review
- Anxiety and depression in patients aged 80 years and older following aortic valve therapy. A six-month follow-up study.Aging clinical and experimental research · 2023Article
- Prevalence of preoperative anxiety among hospitalized patients in a developing country: a study of associated factors.Perioperative medicine (London, England) · 2023Article
- Effects of Preoperative Anxiety on Postoperative Outcomes and Sleep Quality in Patients Undergoing Laparoscopic Gynecological Surgery.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
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Abstract
backgroundPreoperative anxiety is associated with increased use of anesthetics and poorer postoperative outcomes. However, the prevalence of preoperative anxiety has not been characterized in Chinese patients. In this study, we aimed to estimate the overall prevalence of preoperative anxiety in Chinese adult patients and to explore the sociodemographic and clinical factors associated with preoperative anxiety in China.
methodsThis study was a multicenter cross-sectional study conducted at 32 tertiary referral centers in China from September 1 to October 31, 2020. Adult patients scheduled for elective surgery were evaluated by the 7-item Perioperative Anxiety Scale (PAS-7) for preoperative anxiety after entrance to the operating zone.
resultsA total of 5191 patients were recruited, and 5018 of them were analyzed. The prevalence of preoperative anxiety measured by PAS-7 was 15.8% (95% CI 14.8 to 16.9%). Multivariable analyses showed female sex, younger age, non-retired, first in a lifetime surgery, surgery of higher risk, and poorer preoperative sleep were associated with higher prevalence of preoperative anxiety.
conclusionsPreoperative anxiety was relatively common (prevalence of 15.8%) among adult Chinese patients undergoing elective surgeries. Further studies are needed using suitable assessment tools to better characterize preoperative anxiety, and additional focus should be placed on perioperative education and intervention, especially in primary hospitals.
trial registrationThis study was registered prospectively at www.chictr.org.cn (ChiCTR1900027639) on November 22, 2019.
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