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Electric toy car to reduce anxiety before a cardiac catherisation: randomised controlled trial

Part of: Interventional Cardiology

Published online by Cambridge University Press:  11 March 2022

Edouard Chambon Open the ORCID record for Edouard Chambon [Opens in a new window] ,
Emmanuelle Fournier ,
Maha Tagorti ,
Florence Lecerf ,
Nadera Chaouche ,
Iolanda Ion ,
Mirela Bojan ,
Sarah Cohen ,
Isabelle Van-Aerschot  and
Meriem Mostefa-Kara
...Show all authors
Edouard Chambon*
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Emmanuelle Fournier
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Maha Tagorti
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Florence Lecerf
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Nadera Chaouche
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Iolanda Ion
Affiliation:
Department of Anesthesia, Resuscitation and Critical Care, Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Mirela Bojan
Affiliation:
Department of Anesthesia, Resuscitation and Critical Care, Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Sarah Cohen
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Isabelle Van-Aerschot
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Meriem Mostefa-Kara
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Clément Batteux
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Jérome Petit
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
Sébastien Hascoet
Affiliation:
Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, Le Plessis Robinson, France
*
Author for correspondence: Edouard Chambon, Pediatric Cardiology Department, Reference Center for Complex Congenital Heart Disease (M3C Network), Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Paris Saclay University, Faculty of Medicine, 133 Av. de la Résistance, 92350 Le Plessis-Robinson, France. Tel: +33 667 327 036. E-mail: edouard.chambon3@gmail.com
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Abstract

Background:

Anxiety before an invasive intervention is associated in children with persistent psychological disorders. We studied the effect of the transfer to the catheterisation room by an electric toy car on the anxiety of children and their parents before a cardiac catheterisation.

Methods:

Forty-eight children with a median age of 5.6 years [4.2–7.0] were randomised to either riding on an electric car to go to the catheterisation laboratory or being transported lying supine on a gurney. Anxiety assessments were performed by a physician blinded to group allocation on the day before the procedure (T0) and at anaesthesia induction (T1). The modified Yale Preoperative Anxiety Scale Short Form (mYPAS-SF) and visual analogue scale for anxiety (VAS-A) were used in the children and the VAS-A in the parents.

Results:

The mYPAS-SF, VAS-A-child, and the VAS-A-parent scores were significantly higher at T1 than at T0 (p < 0.001, p < 0.001, and p = 0.005, respectively). The primary outcome (the median mYPAS-SF score at T1) was not significantly different in the two groups when males and females were combined. At T1, the VAS-A-child score, however, was significantly lower in the intervention than the control group (22 versus 55, p < 0.001). In the boys, the median mYPAS-SF score at T1 was significantly lower in the intervention group (25.0 versus 51.0, p = 0.024). No difference was observed in girls. The VAS-A parent score was lower at T1 in the intervention group (60 versus 87, p = 0.05).

Conclusion:

Riding to the catheterisation laboratory on an electric toy car decreased anxiety in boys and decreased parental anxiety.

Keywords

anxietyelectric toy carpaediatricscatheterisationCHD
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 2 , February 2023 , pp. 294 - 300
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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