Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
422 participants
OBSERVATIONAL
2025-03-19
2025-07-15
Brief Summary
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On the day of the preoperative check, the participant will be asked to complete a very short, six-question survey about how anxious the participant feels and how much information the participant wants. It takes about five minutes, and the participant can answer by choosing responses like "not at all," "somewhat," or "extremely."
The investigating anesthesiologist will also make a quick, private note of how anxious they think you are based on their routine pre-anaesthesia check. All of the participant answers and the doctor's note will be kept strictly confidential and stored securely.
Joining the study is entirely voluntary. Deciding not to take part or choosing to leave the study at any time will not change the medical care you receive. There are no extra costs or medical tests beyond what you would normally have.
By sharing your experience, the participant helps us understand what makes patients feel anxious before surgery and how the investigators can improve support and information for future patients.
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Detailed Description
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The investigator will use the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to measure patient-reported anxiety and information need. This six-item tool yields an anxiety score (4-20 points) and an information-need score (2-10 points). A score of 11 or more indicates high anxiety. In addition, the attending anesthesiologist will rate each patient's anxiety immediately after the pre-anaesthetic check.
We will collect demographic and clinical data, including age, gender, marital status, education level, occupation, previous anaesthesia exposure, type of anaesthesia, and area of residence. Data entry will be done in Excel, and analysis will be carried out using SPSS. We will report median and interquartile ranges for APAIS scores and use multivariable logistic regression to identify factors associated with high anxiety.
The study protocol has been approved by the Nepal Health Research Council. Participant confidentiality will be maintained through coded identifiers, locked physical records, and encrypted digital files.
The investigator's goal is to determine how common preoperative anxiety is and which patient characteristics influence it. The findings will guide the development of targeted interventions and information programmes to reduce anxiety before surgery.
Conditions
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Study Design
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CASE_ONLY
CROSS_SECTIONAL
Study Groups
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Adult Elective Surgery Patients
Adult Elective Surgery Patients in Eastern Suburban Nepal presenting for elective surgery after preoperative anaesthetic checkup and clearance and perioperative counseling.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Scheduled for elective surgery with prior pre-anesthetic clearance
* Able to provide informed consent
Exclusion Criteria
* Documented psychiatric disorders or cognitive impairment
* Current treatment with anxiolytics or antidepressants
* Language barrier preventing questionnaire completion
* ASA Physical Status IV or higher
18 Years
ALL
Yes
Sponsors
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Tribhuvan University Teaching Hospital, Institute Of Medicine.
OTHER
Responsible Party
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Sujan Dhakal, MD
Consultant Anesthesiologist
Locations
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Om Sai Pathibhara Hospital and Provincial hospital Bhadrapur
Bhadrapur, Koshi, Nepal
Countries
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Other Identifiers
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562/2024
Identifier Type: OTHER
Identifier Source: secondary_id
NHRC-562/2024
Identifier Type: -
Identifier Source: org_study_id
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