id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
bam-10449	Ahmadipour, Maryam; Sattari, Hossein; Nejad, Mehdi Ahmadi	Incidence and risk factors related to anxiety of children and adolescents before elective surgery	2022	7	.pdf	application/pdf	5108	306	57	It is proven that an increase in preoperative anxiety levels can lead to psychological and physical complications, affect the quality of anesthesia and postoperative care, and increase mortality rates.2 Anxiety depends on several factors, including trust in the hospital, awareness of the method and complications of the surgery and anesthesia, and the patient’s age.3 Different studies have reported various incidence rates for anxiety ranging from 25% to 80%.4,5 Children are probably more prone to anxiety considering their less developed cognitive and communicative capabilitie.6 When entering the operating room and being separated from their parents, this anxiety peaks and leads to uncooperative behaviors regarding anesthesia induction.7 Some studies have reported a prevalence of preoperative anxiety up to 70% in children and adolescents.8 Children who suffer from preoperative anxiety are more than three times as much at risk of postoperative anxiety and pain.9 Moreover, it has been observed that children and adolescents who experience severe preoperative anxiety will suffer from psychological complications such as sleep disorder and Anxiety before elective surgery in children and adolescents Eur J Transl Myol 32 (2): 10449, 2022 doi: 10.4081/ejtm.2022.10449 - 2 - separation anxiety disorder (SAD).10 If left uncontrolled, anxiety can contribute to the lengthening of hospitalization time and interfere with the wound healing process.11 Recent studies have indicated that controlling preoperative anxiety in children before school age can prevent postoperative delirium (POD).12 So far, different tools have been introduced for the analysis of preoperative stress in children and adolescents, among which the State-Trait Anxiety Inventory (STAI) is known as the golden standard to analyze the anxiety resulting from depressive syndromes.	cache/bam-10449.pdf	txt/bam-10449.txt
