Preoperative Anxiety Effect on Patient-Reported Outcomes Following Foot and Ankle Surgery

Nixon, Devon; Schafer, Kevin A.; Cusworth, Brian; McCormick, Jeremy J.; Johnson, Jeffery E; Klein, Sandra E.

doi:10.1177/1071100719850806

Cited by 26 publications

(25 citation statements)

References 26 publications

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“…Future studies should include treatment with other opioids. Postoperative pain and opioid consumption are also influenced by a patient’s psychological factors, the preoperative experience of pain, and the preoperative use of opioids [ 49 – 51 ]. It is difficult to evaluate these factors accurately in retrospective investigations; therefore, to comprehensively assess the factors affecting postoperative opioid dosage, it is necessary to add these predictive factors to future prospective studies.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting sufentanil consumption for intravenous controlled analgesia after hepatectomy: retrospective analysis

Liu

et al. 2021

BMC Anesthesiol

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Background Pain control after hepatectomy is usually achieved by opioids. There are significant individual differences in the amount of opioids used after hepatectomy, and the metabolism of opioids is liver-dependent. The purpose of our study was to explore the possible risk factors for opioid consumption during the first 48 h after surgery. Methods In a retrospective study design involving 562 patients undergoing open or laparoscopic hepatectomy, all patients were treated with intravenous patient-controlled analgesia (IV-PCA) along with continuous and bolus doses of sufentanil for a duration of 48 h after surgery during the time period of August 2015 and February 2019. The primary endpoint was high sufentanil consumption 48 h after hepatectomy, and patients were divided into two groups: those with or without a high PCA sufentanil dosage depending on the third quartile (Q3). The secondary endpoint was the effect of a high PCA sufentanil dosage on various possible clinical risk factors. The relevant parameters were collected, and correlation and multivariate regression analyses were performed. Results The median operation time was 185 min (range, 115–250 min), and the median consumption of sufentanil 48 h after the operation was 91 μg (IQR, 64.00, 133.00). Factors related to the consumption of sufentanil at 48 h after hepatectomy included age, operation time, blood loss, intraoperative infusion (red blood cells and fresh-frozen plasma), pain during movement after surgery (day 1 and day 2), preoperative albumin, and postoperative blood urea nitrogen. Age (≤ 60 and > 60 years), extent of resection (minor hepatic resection and major hepatic resection), surgical approach (laparoscope and open) and operation time (min) were independent risk factors for sufentanil consumption at 48 h postoperatively. Conclusion Age younger than 60 years, major hepatic resection, an open approach and a longer operation are factors more likely to cause patients to require higher doses of sufentanil after hepatectomy, and the early identification of such patients can increase the efficacy of perioperative pain management.

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Section: Discussionmentioning

confidence: 99%

Factors affecting sufentanil consumption for intravenous controlled analgesia after hepatectomy: retrospective analysis

Liu

et al. 2021

BMC Anesthesiol

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“…Beleckas et al defined clinically significant anxiety as a score of 62 or higher on the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Scale, 16 and Nixon et al defined a PROMIS Anxiety score of 59.4 or higher as anxiety. 17 Lee et al evaluated level of anxiety using a visual analog scale of anxiety (VAS-anxiety) and defined preoperative anxiety as a score of 1or higher on the VAS-anxiety Scale. 18 Hampton et al classified the HADS-Anxiety subscale (HADSA) scores of 8 to 10 as borderline abnormal and scores of 11 to 21 as abnormal.…”

Section: Discussionmentioning

confidence: 99%

“…A study using the PROMIS Anxiety evaluation tool among patients treated for various diseases of the upper extremities reported that the prevalence of anxiety was 16.6% 16 and a study using the same evaluation tool in patients who underwent foot and ankle joint surgery reported that 28.8% of all patients showed anxiety. 17 A study using the VAS-anxiety evaluation tool in patients who underwent lumbar surgery reported that preoperative anxiety (point 0 or higher) was observed in 87% of all patients. 18 In a study evaluating the level of anxiety in patients with hip joint disease, it was reported that 4.3-43.8% of patients showed an abnormal level of anxiety depending on the disease, and 13.1% of patients showed an abnormal level of anxiety overall.…”

Section: Discussionmentioning

confidence: 99%

State-Anxiety in Geriatric Patients Undergoing Surgical Treatment for Femoral Neck or Intertrochanteric Fractures

Jung

Park

Song

et al. 2021

Geriatr Orthop Surg Rehabil

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Introduction Geriatric patients with hip fractures often experience unexpected falls and they may have unfamiliar and unpleasant experiences within a brief period. This study aimed to investigate the prevalence and levels of preoperative anxiety in patients undergoing surgical treatment for hip fractures, and to determine the anxiety-related characteristics experienced by patients during the period before and after surgery. Materials and methods We recruited a total of 75 geriatric patients who underwent surgical treatment for hip fractures and returned complete questionnaires. We used the State-Trait Anxiety Inventory (STAI)-X type to measure state-anxiety and defined a total score of 52 or higher as clinically meaningful state-anxiety. And, we investigated main cause of anxiety, moment of the highest level of anxiety, and the most helpful factor in overcoming anxiety before surgery and in reducing anxiety after surgery. Results The mean STAI score was 47.2 points and one-third of the patients experienced various levels of clinically meaningful state-anxiety. The most common cause of preoperative anxiety was the surgery itself and patients experienced the greatest level of anxiety from the night preceding the surgery to the day of the surgery. Further, patients’ trust in the medical staff prior to surgery and the surgeon’s explanation after the surgery were the most key factors in overcoming anxiety. Conclusion This study investigates the state-anxiety of geriatric patients undergoing surgery for hip fractures and presents important findings which can help in developing evidence-based interventions to improve the experience of patients undergoing hip surgeries.

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“…Also, evidence suggested that the preoperative anxiety anticipates worse pain and performance conditions in early surgical follow-up. Therefore, measures to reduce preoperative anxiety can help identify high-risk patients in terms of poorer surgical outcomes (Nixon et al, 2019). In the investigation of effects of spirituality and spiritual health on anxiety, spiritual factors predicting anxiety have shown that spiritual health can predict 39.1% of overt anxiety and 37.9% of covert anxiety in adults.…”

Section: Discussionmentioning

confidence: 99%

Effect of Spiritual Care on Anxiety and Fear of Orthopaedic Surgery Patients

Amiri

Mirzaei

Nasiriani

2021

J Pastoral Care Counsel

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Fear and anxiety can affect surgery outcomes. Spirituality is one of the basic aspects of human beings. This study determined the effect of spiritual care on the fear and anxiety of orthopaedic surgery candidates. A spiritual care programme was implemented for the experimental group. The results showed the spiritual care could reduce the anxiety and fear of orthopaedic surgery candidates. Therefore, nurses should pay more attention to spiritual care and receive the necessary training.

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Preoperative Anxiety Effect on Patient-Reported Outcomes Following Foot and Ankle Surgery

Cited by 26 publications

References 26 publications

Factors affecting sufentanil consumption for intravenous controlled analgesia after hepatectomy: retrospective analysis

Factors affecting sufentanil consumption for intravenous controlled analgesia after hepatectomy: retrospective analysis

State-Anxiety in Geriatric Patients Undergoing Surgical Treatment for Femoral Neck or Intertrochanteric Fractures

Effect of Spiritual Care on Anxiety and Fear of Orthopaedic Surgery Patients

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