Evidence map›Paper›PMID 38318155›Full record

ArticleF1000Research2023

Prevalence of pre-operative anxiety and associated risk factors among patients awaiting elective surgery in a tertiary care hospital.

Suman Prasad Adhikari, Bishnu Deep Pathak, Bhuwan Ghimire, Sunil Baniya, Prabhas Joshi, Pooja Kafle, Prawesh Adhikari, Aakanksha Rana, Laxmi Regmi, Bishal Dhakal and 4 more

Abstract read
In one paragraph

Article in F1000Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Suman Prasad AdhikariDepartment of Neuropsychiatry, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati province, 10160, Nepal.ORCID 0000-0002-9535-7015
Bishnu Deep PathakCollege of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati Province, 10160, Nepal.ORCID 0000-0002-0811-8316
Bhuwan GhimireCollege of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati Province, 10160, Nepal.
Sunil BaniyaDepartment of Oxford University Clinical Research Unit, Patan Academy of Health Sciences, Lalitpur, Bagmati Province, 26500, Nepal.ORCID 0009-0008-2880-9545
Prabhas JoshiCollege of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati Province, 10160, Nepal.
Pooja KafleCollege of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati Province, 10160, Nepal.ORCID 0000-0001-7884-9897
Prawesh AdhikariCollege of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati Province, 10160, Nepal.
Aakanksha RanaCollege of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati Province, 10160, Nepal.
Laxmi RegmiKarnali Province Hospital, Birendranagar, Surkhet, 21700, Nepal.
Bishal DhakalCollege of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati Province, 10160, Nepal.ORCID 0000-0001-9432-5233
Nabin SimkhadaDepartment of Internal Medicine, Kathmandu University School of Medical Sciences, Kavrepalanchok, Bagmati Province, 45200, Nepal.ORCID 0000-0002-4346-3940
Om Prakash TandonCollege of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati Province, 10160, Nepal.
Indra Dev PathakCollege of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati Province, 10160, Nepal.
Namrata Mahara RawalDepartment of Neuropsychiatry, Nepalese Army Institute of Health Sciences, Kathmandu, Bagmati province, 10160, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients undergoing surgery have a fear of anesthesia and surgical procedures that results in anxiety. The global incidence of pre-operative anxiety is estimated at 60-92%. Age, gender, education, marital status, type of family, type of anesthesia and surgery, and history of surgery are the contributing factors. High levels of anxiety during the pre-operative period has negative impacts on surgical outcomes. The main objective of this study was to find out the prevalence of pre-operative anxiety and associated risk factors in a hospital setting of a developing country. Methods: This was a single center, analytical, cross-sectional study conducted among the admitted patients scheduled for elective surgeries in a tertiary care hospital. Non-probability convenience sampling was adopted and a total of 205 cases were included. The researchers themselves collected the data on the day before surgery using questionnaires comprised of two parts: semi-structured questionnaires prepared via literature review and Amsterdam Pre-operative Anxiety and Information Scale (APAIS). Data were analyzed in SPSS version 23. Bivariate and multivariate analyses were performed appropriately. Results: The prevalence of pre-operative anxiety was 25.85%. The median anaesthesia related, surgery related, and total anxiety scores were 4.00, 5.00 and 9.00 respectively. Likewise, the median score of information desired component scale was 5.00. Different anxiety scores were positively correlated with the information desire component score. The patients living in a nuclear family (adjusted OR, 2.480; 95% CI, 1.272-4.837, p = 0.008) and those without past history of surgery (adjusted OR, 2.451; 95% CI, 1.107-5.424, p = 0.027) had approximately 2.5 times higher risk of having pre-operative anxiety compared to those from a joint family and those having past history of surgery respectively. Those receiving spinal anesthesia had approximately two times lower risk of anxiety (adjusted OR, 0.511; 95% CI, 0.265-0.985, p = 0.045). Conclusions: One fourth of the patients had pre-operative anxiety. Type of family, type of anesthesia and past history of surgery were found to be the independent predictors of anxiety.

Indexed as

Anesthesia, SpinalAnxietyCross-Sectional StudiesHumansPrevalenceRisk FactorsTertiary Care Centersanesthesiaanxietyelective surgical proceduressurgery

Identifiers

PMID38318155
PMCPMC10839854

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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.