1. Predicting Which Child-Parent Pair Will Benefit from Parental Presence During Induction of Anesthesia: A Decision-Making Approach
- Author
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Inna Maranets, Linda C. Mayes, Alison A. Caldwell-Andrews, Zeev N. Kain, and William Nelson
- Subjects
Male ,Parents ,Databases, Factual ,Decision Making ,Anxiety ,behavioral disciplines and activities ,Cohort Studies ,Predictive Value of Tests ,mental disorders ,Humans ,Medicine ,Anesthesia ,Child ,Extramural ,business.industry ,Parental presence ,Anxious parents ,Anesthesiology and Pain Medicine ,El Niño ,Child, Preschool ,behavior and behavior mechanisms ,Female ,medicine.symptom ,business ,Cohort study - Abstract
Using a multiply matched, concurrent cohort analysis, with 568 subjects matched from data obtained by our laboratory over the past 7 yr, we examined whether parental presence during induction of anesthesia (PPIA) reduces children's anxiety depending on the interaction between child and parent's baseline anxiety. Children's and parents' baseline anxiety was assessed preoperatively; children's anxiety was again assessed during induction of anesthesia. We found that anxious children who received PPIA from a calm parent were significantly less anxious during induction of anesthesia as compared with anxious children who did not receive PPIA (P = 0.03). In contrast, calm children who received PPIA from an overly anxious parent were significantly more anxious as compared with calm children who were not accompanied by a parent (P = 0.002). We found no effect of PPIA on children's anxiety during induction of anesthesia when calm parents accompanied calm children into the operating room (P = 0.15) or when overly anxious parents accompanied anxious children (P = 0.49). We conclude that the presence of a calm parent does benefit an anxious child during induction of anesthesia and the presence of an overly anxious parent has no benefit.
- Published
- 2006