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CC BY 4.0 · J Neuroanaesth Crit Care 2024; 11(01): 026-031
DOI: 10.1055/s-0044-1779595
Original Article

Assessment of Preoperative Anxiety Utilizing Amsterdam Preoperative Anxiety and Information Scale in Patients Undergoing Intracranial Tumor Surgery: An Exploratory Study

Vikram Chandra
1   Department of Anaesthesiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
,
Nishant Goel
2   Department of Neurosurgery, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
,
Ranjeeta Kumari
3   Department of Community Medicine, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
,
Sanjay Agrawal
1   Department of Anaesthesiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
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Abstract

Background Preoperative anxiety in neurosurgical patients is high due to life-threatening illness and uncertainty of the surgical outcome. This study assessed preoperative anxiety and its influencing factors in patients undergoing intracranial tumor surgeries utilizing the Amsterdam Preoperative Anxiety and Information Scale (APAIS).

Methods One-hundred twenty patients, 18 to 65 years of age, of either sex, American Society of Anesthesiologists (ASA) grades I/II posted for elective craniotomy and tumor excision, were selected for the study. Various components of the APAIS were explained, and the level of anxiety and need for information were noted. The level of anxiety and depression by HADS (Hospital Anxiety and Depression Scale) score was also evaluated.

Results The mean age was 38.00 ± 12.15 years. About 57.5% of the patients were male. Eighteen (15%) patients had an educational qualification of class 10, 60(50%) of 10 + 2, 36 (30%) were graduates, and 6 (5%) had a postgraduate qualification.

The mean APAIS for total anxiety was 11.10 ± 1.79; the score for need for information was 6.28 ± 1.61. Mean total anxiety scores were higher in female patients (11.96 vs. 10.46, p < 0.001). Higher anxiety was observed in ASA status I patients (11.33 vs. 10.539 ASA I vs. II, p = 0.020). Significantly higher anxiety was observed in patients educated till class 10 (p = 0.012). A significantly higher need for information was observed in postgraduates (p = 0.012). Eighty (66.7%) patients had clinical anxiety, and 35 (29.2%) had clinical depression on the HADS score.

Conclusion Neurosurgical patients have higher anxiety due to intracranial pathology, site of surgery, and unpredictability of outcome. Demographic and clinical variables do affect anxiety levels.

Keywords

anxiety - intracranial tumor - assessment - Amsterdam Preoperative Anxiety and Information Scale - HADS


Publication History

Article published online:
07 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Perks A, Chakravarti S, Manninen P. Preoperative anxiety in neurosurgical patients. J Neurosurg Anesthesiol 2009; 21 (02) 127-130
    CrossrefPubMedGoogle Scholar
  • 2 Moerman N, van Dam FS, Muller MJ, Oosting H. The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesth Analg 1996; 82 (03) 445-451
    PubMedGoogle Scholar
  • 3 Oteri V, Martinelli A, Crivellaro E, Gigli F. The impact of preoperative anxiety on patients undergoing brain surgery: a systematic review. Neurosurg Rev 2021; 44 (06) 3047-3057
    CrossrefPubMedGoogle Scholar
  • 4 Goebel S, Kaup L, Mehdorn H. Measuring preoperative anxiety in patients with intracranial tumours. J Neurosurg Anesthesiol 2011; 23: 297-303
    CrossrefPubMedGoogle Scholar
  • 5 Maranets I, Kain ZN. Preoperative anxiety and intraoperative anesthetic requirements. Anesth Analg 1999; 89 (06) 1346-1351
    CrossrefPubMedGoogle Scholar
  • 6 Celik F, Edipoglu IS. Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. Eur J Med Res 2018; 23 (01) 41
    CrossrefPubMedGoogle Scholar
  • 7 Aust H, Eberhart L, Sturm T. et al. A cross-sectional study on preoperative anxiety in adults. J Psychosom Res 2018; 111: 133-139
    CrossrefPubMedGoogle Scholar
  • 8 Fekrat F, Sahin A, Yazici KM, Aypar U. Anaesthetists' and surgeons' estimation of preoperative anxiety by patients submitted for elective surgery in a university hospital. Eur J Anaesthesiol 2006; 23 (03) 227-233
    CrossrefPubMedGoogle Scholar
  • 9 Boker A, Brownell L, Donen N. The Amsterdam preoperative anxiety and information scale provides a simple and reliable measure of preoperative anxiety. Can J Anaesth 2002; 49 (08) 792-798
    CrossrefPubMedGoogle Scholar
  • 10 Pokharel K, Bhattarai B, Tripathi M, Khatiwada S, Subedi A. Nepalese patients' anxiety and concerns before surgery. J Clin Anesth 2011; 23 (05) 372-378
    CrossrefPubMedGoogle Scholar
  • 11 Vergara-Romero M, Morales-Asencio JM, Morales-Fernández A, Canca-Sanchez JC, Rivas-Ruiz F, Reinaldo-Lapuerta JA. Validation of the Spanish version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Health Qual Life Outcomes 2017; 15 (01) 120
    CrossrefPubMedGoogle Scholar
  • 12 Lu X, Zhang R, Wu W, Shang X, Liu M. Relationship between internet health information and patient compliance based on trust: empirical study. J Med Internet Res 2018; 20 (08) e253
    CrossrefPubMedGoogle Scholar
  • 13 Fischbeck S, Petrowski K, Renovanz M, Nesbigall R, Haaf J, Ringel F. Anxiety is associated with unfulfilled information needs and pain at the informed consent consultation of spine surgery patients: a longitudinal study. Eur Spine J 2021; 30 (08) 2360-2367
    CrossrefPubMedGoogle Scholar
  • 14 Goebel S, Mehdorn HM. Assessment of preoperative anxiety in neurosurgical patients: comparison of widely used measures and recommendations for clinic and research. Clin Neurol Neurosurg 2018; 172: 62-68
    CrossrefPubMedGoogle Scholar
  • 15 Matthias AT, Samarasekera DN. Preoperative anxiety in surgical patients - experience of a single unit. Acta Anaesthesiol Taiwan 2012; 50 (01) 3-6
    CrossrefPubMedGoogle Scholar
  • 16 Acharya S, Gurung R, Parajuli B. Preoperative anxiety assessment in adult patients undergoing elective surgeries: a cross-sectional observational study. JIOM Nepal 2020; 42: 18-22
    PubMedGoogle Scholar
  • 17 Laufenberg-Feldmann R, Kappis B. Assessing preoperative anxiety using a questionnaire and clinical rating: a prospective observational study. Eur J Anaesthesiol 2013; 30 (12) 758-763
    CrossrefPubMedGoogle Scholar
  • 18 Goebel S, Kaup L, Wiesner CD, Mehdorn HM. Affective state and cognitive functioning in patients with intracranial tumors: validity of the neuropsychological baseline assessment. Psychooncology 2013; 22 (06) 1319-1327
    CrossrefPubMedGoogle Scholar
  • 19 Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the hospital anxiety and depression scale. An updated literature review. J Psychosom Res 2002; 52 (02) 69-77
    CrossrefPubMedGoogle Scholar
  • 20 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67 (06) 361-370
    CrossrefPubMedGoogle Scholar
  • 21 Berth H, Petrowski K, Balck F. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) - the first trial of a German version. Psychosoc Med 2007; 4: Doc01
    PubMedGoogle Scholar
  • 22 Maurice-Szamburski A, Loundou A, Capdevila X, Bruder N, Auquier P. Validation of the French version of the Amsterdam preoperative anxiety and information scale (APAIS). Health Qual Life Outcomes 2013; 11: 166
    CrossrefPubMedGoogle Scholar
  • 23 Srinivasaiah M, Venugopalan V, Thekkethil R. Translation and validation of the Amsterdam Preoperative Anxiety and Information Scale (APAIS) for use in Malayalam speaking population in India. J Evid Based Med Healthc 2018; 5: 1311-1315
    CrossrefPubMedGoogle Scholar
  • 24 Wu H, Zhao X, Chu S. et al. Validation of the Chinese version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Health Qual Life Outcomes 2020; 18 (01) 66
    CrossrefPubMedGoogle Scholar
  • 25 Zeleníková R, Homzová P, Homza M, Bužgová R. Validity and reliability of the Czech Version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). J Perianesth Nurs 2017; 32 (05) 429-437
    CrossrefPubMedGoogle Scholar
  • 26 Kumar A, Dubey PK, Ranjan A. Assessment of anxiety in surgical patients: an observational study. Anesth Essays Res 2019; 13 (03) 503-508
    CrossrefPubMedGoogle Scholar
  • 27 Buonanno P, Laiola A, Palumbo C, Spinelli G, Terminiello V, Servillo G. Italian validation of the Amsterdam Preoperative Anxiety and Information Scale. Minerva Anestesiol 2017; 83 (07) 705-711
    CrossrefPubMedGoogle Scholar
  • 28 Aloweidi A, Abu-Halaweh S, Almustafa M. et al. Preoperative anxiety among adult patients undergoing elective surgeries at a tertiary teaching hospital: a cross-sectional study during the Era of COVID-19 vaccination. Healthcare (Basel) 2022; 10 (03) 515
    CrossrefPubMedGoogle Scholar
  • 29 Maurício S, Rebêlo I, Madeira C, Resende F, Esteves S. Validation of the Portuguese version of Amsterdam Preoperative Anxiety and Information Scale (APAIS). Health Qual Life Outcomes 2021; 19 (01) 95
    CrossrefPubMedGoogle Scholar