Department of Anesthesiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100730, China.
Medical Research Center, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100730, China.
World J Surg. 2022 Dec;46(12):2927-2938. doi: 10.1007/s00268-022-06720-9. Epub 2022 Sep 7.
Preoperative 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.
This 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.
A 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.
Preoperative 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.
This study was registered prospectively at www.chictr.org.cn (ChiCTR1900027639) on November 22, 2019.
术前焦虑与麻醉剂使用增加和术后结果较差有关。然而，中国患者术前焦虑的患病率尚未确定。在这项研究中，我们旨在估计中国成年患者术前焦虑的总体患病率，并探讨与中国术前焦虑相关的社会人口学和临床因素。
这是一项多中心横断面研究，于 2020 年 9 月 1 日至 10 月 31 日在中国 32 家三级转诊中心进行。进入手术区后，采用 7 项围手术期焦虑量表（PAS-7）对拟行择期手术的成年患者进行术前焦虑评估。
共招募了 5191 名患者，其中 5018 名患者进行了分析。PAS-7 测量的术前焦虑患病率为 15.8%（95%CI 14.8 至 16.9%）。多变量分析显示，女性、年龄较小、未退休、首次手术、手术风险较高和术前睡眠较差与术前焦虑患病率较高相关。
在中国接受择期手术的成年患者中，术前焦虑较为常见（患病率为 15.8%）。需要使用合适的评估工具进一步研究术前焦虑，特别应关注初级医院的围手术期教育和干预。
该研究于 2019 年 11 月 22 日在中国临床试验注册中心（ChiCTR1900027639）进行了前瞻性注册。
