scholarly journals Is the Amsterdam Preoperative Anxiety and Information Scale (APAIS) a Valid Tool in Guiding the Management of Preoperative Anxiety in Adult Patients? A Literature Review

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Spanner Sarah ◽  
Sayer Lynn

2020 ◽  
Vol 42 (3) ◽  
pp. 18-22
Author(s):  
Santosh Acharya ◽  
Renu Gurung ◽  
Basudev Parajuli

Introduction Anxiety is the subjective unpleasant feeling of dread over something unlikely to happen. The incidence of preoperative anxiety ranges from 32% to 76.7%. We aimed to measure the preoperative anxiety level using Amsterdam Preoperative Anxiety and Information Scale questionnaire and clinical rating scale given by attending anesthesiologist / anesthesia residents. MethodsIt was cross-sectional observational study conducted in wards. We enrolled 110 adult patients planned for elective gynecological and gastrointestinal surgeries. After taking informed written consent, principal investigator interviewed the patient, one day prior to surgery in wards using a structured questionnaire of Amsterdam Preoperative Anxiety and Information Scale. Demographics characters were recorded. The attending anesthesia residents (blinded to patient response) performed preanesthetic assessment, provided their subjective rating about patient anxiety and need for information using Clinical Rating Scale. ResultsOut of 110 patient, 57(51.81%) were found to have higher anxiety level. Comparing the APAIS score with various factors, we found younger age, female gender, unemployed status, higher level of education, adverse events in previous surgery and higher grade of surgery was associated with higher anxiety score. Comparing APAIS with Clinical Rating Score, there was poor correlation. ConclusionThe incidence of preoperative anxiety is high (51.81%) in adult patients undergoing elective surgery. During the preoperative anesthetic checkup, APAIS can be used as a screening tool. It provides relevant information on the presence of preoperative anxiety and need for information, which helps to achieve patient satisfaction and better outcome.



2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sandra Maurício ◽  
Isabel Rebêlo ◽  
Catarina Madeira ◽  
Filipa Resende ◽  
Susana Esteves

Abstract Background Preoperative anxiety is common among the oncological surgical population. Due to its psychological and physiological detrimental effects, identifying and addressing it is of uttermost importance to improve anesthetic management and patient’s outcomes. The aim of this study is to validate the Portuguese version of Amsterdam Preoperative Anxiety and Information Scale (APAIS) in the oncological population. Methods Following forward and backward translation of the original APAIS scale, further adaptation was obtained through cognitive interviewing. The resulting instrument was tested on the day before surgery on a sample of adult cancer surgical patients from a Portuguese oncology centre. Psychometric evaluation was derived from inter-item correlation, confirmatory factor analysis, Cronbach’s alpha, correlation with comparative scales, receiver operating characteristic curve and Youden index. Results 109 patients (58 males, 51 females) were included. A three-dimensional model—anxiety about anesthesia, anxiety about surgery and desire for information, showed the best fit to the data. The questionnaire revealed high internal consistency (Cronbach alpha 0.81) and good inter-item correlation. Also, Portuguese APAIS correlated well with the gold standard anxiety scale. Therefore, the psychometric properties of this scale version make it a valid and reliable instrument. The optimal cutoff to maximize both sensitivity and specificity was 12 for the APAIS global anxiety score. Conclusions Portuguese APAIS version is an accurate tool to identify preoperative anxiety among cancer patients and might impact its management, from premedication choice to provision of information and reassurance about either anesthesia or surgery.





2019 ◽  
Vol 60 (13) ◽  
pp. 3116-3131
Author(s):  
Rakel Pálmarsdóttir ◽  
Andreas Kiesbye Øvlisen ◽  
Marianne Tang Severinsen ◽  
Ingrid Glimelius ◽  
Karin E. Smedby ◽  
...  




2018 ◽  
Vol 29 (3) ◽  
pp. 246-258 ◽  
Author(s):  
Monika Tukacs

Extracorporeal membrane oxygenation is a rapidly emerging treatment for respiratory or cardiac failure and is used as a bridge to recovery, transplant, or destination therapy. Adult patients receiving extracorporeal membrane oxygenation also receive significant amounts of pharmacotherapy. Although the body of literature on extra-corporeal membrane oxygenation in general is extensive, only a few publications focus on pharmacokinetic changes related to extracorporeal membrane oxygenation in adults. Understanding pharmacokinetics in adult patients receiving extracorporeal membrane oxygenation is important to correctly select and dose medications in this patient population. This article reviews published studies of the effects of extracorporeal membrane oxygenation on pharmacokinetics in adults.



2019 ◽  
Vol 55 (3) ◽  
pp. 653-656 ◽  
Author(s):  
Daisuke Katoh ◽  
Yotaro Ochi ◽  
Nobuhiro Hiramoto ◽  
Mari Morita ◽  
Tomohiro Yabushita ◽  
...  


2009 ◽  
Vol 39 (2) ◽  
pp. 108-115 ◽  
Author(s):  
Jochen Zwerina ◽  
Gerhard Eger ◽  
Matthias Englbrecht ◽  
Bernhard Manger ◽  
Georg Schett


Heart & Lung ◽  
2018 ◽  
Vol 47 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Audrey R. Roberson ◽  
Angela Starkweather ◽  
Catherine Grossman ◽  
Edmund Acevedo ◽  
Jeanne Salyer


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