Table 2.
VREc (n = 94) | CAU (n = 97) | Pd | VREe (n = 73) | Pf | |
Anxiety | |||||
mYPAS (observed) | |||||
T1 | 28.3 [23.3 to 31.7] | 26.7 [23.3 to 32.5] | 0.697a | 28.3 [23.3 to 30.0] | 0.636a |
T2 | 28.3 [23.3 to 36.7] | 28.3 [23.3 to 41.7] | 0.765a | 26.7 [23.3 to 36.7] | 0.129a |
T3 | 40.0 [28.3 to 58.3] | 38.3 [28.3 to 53.3] | 0.862a | 36.7 [27.5 to 48.3] | 0.266a |
VAS (self-reported) | |||||
T1 | 3.0 [0.1 to 5.0] | 1.5 [0.0 to 5.0] | 0.407a | 3.0 [0.5 to 5.0] | 0.209a |
T2 | 3.0 [1.0 to 5.5] | 3.5 [0.0 to 6.0] | 0.753a | 3.5 [1.0 to 6.0] | 0.997a |
T4 | 0.0 [0.0 to 2.0] | 0.0 [0.0 to 2.0] | 0.735a | 0.3 [0.0 to 2.0] | 0.466a |
T5 | 0.5 [0.0 to 1.0] | 0.3 [0.0 to 2.0] | 0.727a | 0.5 [0.0 to 1.0] | 0.620a |
Pain | |||||
FPS-r (self-reported) | |||||
T4 | 2.0 [0.0 to 4.0] | 2.0 [0.0 to 2.5] | 0.699a | 2.0 [0.0 to 4.0] | 0.763a |
T5 | 0.0 [0.0 to 2.0] | 0.0 [0.0 to 2.0] | 0.454a | 0.0 [0.0 to 2.0] | 0.551a |
FLACC (observed, T4) | 0.0 [0.0 to 0.0] | 0.0 [0.0 to 0.0] | 0.669a | 0.0 [0.0 to 0.0] | 0.735a |
PPPM (observed, T5) | 3.0 [0.0 to 5.0] | 3.0 [1.0 to 8.0] | 0.410a | 3.0 [0.0 to 5.8] | 0.502a |
Rescue analgesiag (T4) | |||||
Overall | 28 (29.8) | 39 (40.2) | 0.131b | 22 (30.1) | 0.175b |
Adenoidectomy and tonsillectomy | 11 (55.0) | 22 (95.7) | 0.002b | 6 (50.0) | 0.001b |
Tympanostomy tubes | 0 (0.0) | 1 (4.3) | 0.312b | 0 (0.0) | 0.384b |
Maxillofacial and dental procedures | 4 (17.4) | 6 (23.1) | 0.622b | 4 (22.2) | 0.947b |
Other ENT procedures | 13 (46.4) | 10 (40.0) | 0.637b | 12 (22.2) | 0.657b |
Emergence delirium | |||||
PAED (observed, T4) | 7.0 [5.0 to 9.0] | 6.0 [5.0 to 9.0] | 0.266a | 7.5 [5.0 to 9.0] | 0.223a |
Parental anxiety | |||||
STAI-state (self-reported, T3) | 41.0 [34.5 to 48.5] | 40.5 [33.0 to 50.0] | 0.753a | 38.5 [34.0 to 45.75] | 0.579a |
VAS (observed, T3) | 3.0 [2.0 to 5.0] | 3.5 [2.0 to 5.0] | 0.418a | 3.0 [2.0 to 4.0] | 0.171a |
Values are median [interquartile range] or frequency (percentage).
FLACC, Face, Legs, Activity, Cry and Consolability; FPS-r, Faces Pain Scale revised; mYPAS, modified Yale Preoperative Anxiety Scale; PAED, Paediatric Anaesthesia Emergency Delirium; PPPM, Parents’ Postoperative Pain Measure; STAI, State-Trait Anxiety Inventory; T1, hospital admission (baseline); T2, holding area; T3, induction of anaesthesia; T4, recovery room, when children were fully awake, in the presence of a parent; T5, at home, within 2 weeks after surgery; VAS, Visual Analogue Scale.
aMann–Whitney U-test.
bχ2 test.
cChildren who were allocated to the VRE condition (n = 94).
dIntention-to-treat analyses.
eChildren who completed the VRE intervention.
fPer-protocol analyses (ad-hoc).
gNeed for rescue analgesia (yes or no) was also analysed for each type of surgery, separately.