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Effects of anxiety on sedation among pediatric patients undergoing esophagogastroduodenoscopy

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Author(s)
You Jin ChoiEun Jin ParkYoo Min LeeSoon Chul KimBen KangKyung Jae LeeHyo-Jeong JangEun Hye LeeJu Young KimSo Yoon ChoiHyun Jin KimYunkoo KangByung-Ho ChoeJeewon LeeDae Yong Yi
Keimyung Author(s)
Jang, Hyo Jeong
Department
Dept. of Pediatrics (소아청소년학)
Journal Title
Clin Child Psychol Psychiatry
Issued Date
2022
Volume
27
Issue
3
Keyword
Endoscopypediatric patientsanesthesiaanxiety
Abstract
We investigated whether the severity of anxiety among children undergoing endoscopy could affect sedation. We prospectively recruited patients under 18 years of age who were scheduled to undergo esophagogastroduodenoscopy (EGD). Baseline anxiety was evaluated using the Spence Children’s Anxiety Scale (SCAS). Our analysis considered the type and dose of sedative drugs, degree of sedation, and complications associated with sedation according to the scale score. The mean total SCAS T-scores and each subscale score were significantly higher in the 6–12-year age group. The mean T-score among patients who exhibited irritability during EGD was higher than that among other patients, with significant differences in the Total, Obsessive Disorder, Panic Agoraphobia and General Anxiety subscales. The midazolam doses of children exhibiting irritability were more likely to need higher (p = 0.006). Other sedation-related complications were not associated with the T-scores in each subscale. Total sleep time was not associated with any T-score subscales. Anxiety levels were significantly higher among 6–12-year-olds and children exhibiting irritability. Anxiety was often associated with irritability, difficulties achieving adequate sedation during EGD, and additional sedative drug administration. We recommend higher doses or more potent drugs to facilitate endoscopy for children with high anxiety levels.
Keimyung Author(s)(Kor)
장효정
Publisher
School of Medicine (의과대학)
Citation
You Jin Choi et al. (2022). Effects of anxiety on sedation among pediatric patients undergoing esophagogastroduodenoscopy. Clin Child Psychol Psychiatry, 27(3), 793–803. doi: 10.1177/13591045221096308
Type
Article
ISSN
1461-7021
Source
https://journals.sagepub.com/doi/10.1177/13591045221096308
DOI
10.1177/13591045221096308
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44303
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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