Trial Outcomes & Findings for Perioperative Virtual Reality for Pediatric Anesthesia (NCT NCT03583450)

NCT ID: NCT03583450

Last Updated: 2020-07-08

Results Overview

Modified Yale Preoperative Anxiety Scale (Observational measure of anxiety in five categories (activity, emotional expressivity, state of arousal, vocalization, and use of parents); Total range 0 to 100 with higher scores indicating greater anxiety)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

71 participants

Primary outcome timeframe

(Day 0 + 15 minutes on average from initial baseline) On entering the OR

Results posted on

2020-07-08

Participant Flow

Participant milestones

Participant milestones
Measure
Perioperative Virtual Reality Headset
Perioperative virtual reality headset with mobile app (Samsung Gear VR headset, ChariotVR software) with routine anesthetic care
Control
Routine anesthetic care
Overall Study
STARTED
34
37
Overall Study
COMPLETED
33
37
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Perioperative Virtual Reality Headset
Perioperative virtual reality headset with mobile app (Samsung Gear VR headset, ChariotVR software) with routine anesthetic care
Control
Routine anesthetic care
Overall Study
hardware malfunction (battery depletion)
1
0

Baseline Characteristics

Perioperative Virtual Reality for Pediatric Anesthesia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Perioperative Virtual Reality Headset
n=34 Participants
Perioperative virtual reality headset with mobile app (Samsung Gear VR headset, ChariotVR software) with routine anesthetic care
Control
n=37 Participants
Routine anesthetic care
Total
n=71 Participants
Total of all reporting groups
Age, Continuous
8.3 years
STANDARD_DEVIATION 2.3 • n=99 Participants
7.8 years
STANDARD_DEVIATION 2.3 • n=107 Participants
8.0 years
STANDARD_DEVIATION 2.3 • n=206 Participants
Sex: Female, Male
Female
18 Participants
n=99 Participants
18 Participants
n=107 Participants
36 Participants
n=206 Participants
Sex: Female, Male
Male
16 Participants
n=99 Participants
19 Participants
n=107 Participants
35 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Asian
5 Participants
n=99 Participants
3 Participants
n=107 Participants
8 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
Race (NIH/OMB)
White
20 Participants
n=99 Participants
19 Participants
n=107 Participants
39 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
n=99 Participants
11 Participants
n=107 Participants
17 Participants
n=206 Participants
Region of Enrollment
United States
34 participants
n=99 Participants
37 participants
n=107 Participants
71 participants
n=206 Participants
Height
131.8 cm
STANDARD_DEVIATION 12.8 • n=99 Participants
130.2 cm
STANDARD_DEVIATION 15.5 • n=107 Participants
131.0 cm
STANDARD_DEVIATION 14.2 • n=206 Participants
Weight
32.9 kg
STANDARD_DEVIATION 11.9 • n=99 Participants
31.9 kg
STANDARD_DEVIATION 15.2 • n=107 Participants
32.4 kg
STANDARD_DEVIATION 13.6 • n=206 Participants
BMI
18.5 kg/m^2
STANDARD_DEVIATION 4.0 • n=99 Participants
18.0 kg/m^2
STANDARD_DEVIATION 4.8 • n=107 Participants
18.2 kg/m^2
STANDARD_DEVIATION 4.4 • n=206 Participants
ASA physical status classification
ASA 1
11 Participants
n=99 Participants
15 Participants
n=107 Participants
26 Participants
n=206 Participants
ASA physical status classification
ASA 2
16 Participants
n=99 Participants
18 Participants
n=107 Participants
34 Participants
n=206 Participants
ASA physical status classification
ASA 3
7 Participants
n=99 Participants
4 Participants
n=107 Participants
11 Participants
n=206 Participants
Prior general anesthesia
Yes
19 Participants
n=99 Participants
18 Participants
n=107 Participants
37 Participants
n=206 Participants
Prior general anesthesia
No
15 Participants
n=99 Participants
19 Participants
n=107 Participants
34 Participants
n=206 Participants
Number of prior general anesthetics
3.3 Prior general anesthetics
STANDARD_DEVIATION 4.1 • n=99 Participants
2.7 Prior general anesthetics
STANDARD_DEVIATION 5.2 • n=107 Participants
3.0 Prior general anesthetics
STANDARD_DEVIATION 4.7 • n=206 Participants
Modified Yale Preoperative Anxiety Scale in preop
28.3 units on a scale
n=99 Participants
28.3 units on a scale
n=107 Participants
28.3 units on a scale
n=206 Participants
Parental State-Trait Anxiety Inventory in preop
36.0 units on a scale
n=99 Participants
38.0 units on a scale
n=107 Participants
36.0 units on a scale
n=206 Participants

PRIMARY outcome

Timeframe: (Day 0 + 15 minutes on average from initial baseline) On entering the OR

Modified Yale Preoperative Anxiety Scale (Observational measure of anxiety in five categories (activity, emotional expressivity, state of arousal, vocalization, and use of parents); Total range 0 to 100 with higher scores indicating greater anxiety)

Outcome measures

Outcome measures
Measure
Perioperative Virtual Reality Headset
n=33 Participants
Perioperative virtual reality headset with mobile app and routine anesthetic care
Control
n=37 Participants
Routine anesthetic care
Perioperative Pediatric Anxiety (Change From Baseline)
0.0 units on a scale
Interval 0.0 to 0.0
5.0 units on a scale
Interval 0.0 to 10.0

PRIMARY outcome

Timeframe: (Day 0 + 30 minutes on average from initial baseline) During mask induction

Modified Yale Preoperative Anxiety Scale (Observational measure of anxiety in five categories (activity, emotional expressivity, state of arousal, vocalization, and use of parents); Total range 0 to 100 with higher scores indicating greater anxiety)

Outcome measures

Outcome measures
Measure
Perioperative Virtual Reality Headset
n=33 Participants
Perioperative virtual reality headset with mobile app and routine anesthetic care
Control
n=37 Participants
Routine anesthetic care
Perioperative Pediatric Anxiety (Change From Baseline)
0.0 units on a scale
Interval 0.0 to 0.0
13.3 units on a scale
Interval 5.0 to 26.7

SECONDARY outcome

Timeframe: (Day 0 + 45 minutes on average from initial baseline) After mask induction

State-Trait Anxiety Inventory: Self-reported anxiety instrument containing two separate 2-item subscales that measure trait (baseline) and state (situational) anxiety. Total range 20 to 80 with higher scores indicating greater anxiety. The value is a sum of trait and state anxiety.

Outcome measures

Outcome measures
Measure
Perioperative Virtual Reality Headset
n=33 Participants
Perioperative virtual reality headset with mobile app and routine anesthetic care
Control
n=37 Participants
Routine anesthetic care
Perioperative Parental Anxiety (Change From Baseline)
0 units on a scale
Interval -3.0 to 3.0
0 units on a scale
Interval -3.0 to 3.0

SECONDARY outcome

Timeframe: (Day 0 + 30 minutes on average from initial baseline) During mask induction

Induction Compliance Checklist (An observational scale used to describe the compliance of a child during induction of anesthesia, range 0 to 11 with higher scores indicating less compliance)

Outcome measures

Outcome measures
Measure
Perioperative Virtual Reality Headset
n=33 Participants
Perioperative virtual reality headset with mobile app and routine anesthetic care
Control
n=37 Participants
Routine anesthetic care
Induction Compliance Checklist
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 1.0

SECONDARY outcome

Timeframe: (Day 0 + 45 minutes on average from initial baseline) After mask induction

21-item parental satisfaction questionnaire after induction of general anesthesia (T3). Parental satisfaction score range: 21-84. Higher scores represent higher satisfaction.

Outcome measures

Outcome measures
Measure
Perioperative Virtual Reality Headset
n=33 Participants
Perioperative virtual reality headset with mobile app and routine anesthetic care
Control
n=37 Participants
Routine anesthetic care
Parental Satisfaction
83 units on a scale
Interval 76.0 to 84.0
80 units on a scale
Interval 76.0 to 83.0

OTHER_PRE_SPECIFIED outcome

Timeframe: (Day 0 + 120 minutes on average from initial baseline) After exiting the OR

Length of time that patient received anesthesia care.

Outcome measures

Outcome measures
Measure
Perioperative Virtual Reality Headset
n=34 Participants
Perioperative virtual reality headset with mobile app and routine anesthetic care
Control
n=37 Participants
Routine anesthetic care
Anesthesia Length
80 minutes
Standard Deviation 91
101 minutes
Standard Deviation 119

OTHER_PRE_SPECIFIED outcome

Timeframe: (Day 0 + 120 minutes on average from initial baseline) After exiting the OR

Length of surgery from procedure start to procedure finish

Outcome measures

Outcome measures
Measure
Perioperative Virtual Reality Headset
n=34 Participants
Perioperative virtual reality headset with mobile app and routine anesthetic care
Control
n=37 Participants
Routine anesthetic care
Surgery Length
62 Minutes
Standard Deviation 85
77 Minutes
Standard Deviation 106

OTHER_PRE_SPECIFIED outcome

Timeframe: (Day 0 + 30 minutes on average from initial baseline) On induction of anesthesia

Whether patient was given anxiolytic medication prior to induction of general anesthesia

Outcome measures

Outcome measures
Measure
Perioperative Virtual Reality Headset
n=34 Participants
Perioperative virtual reality headset with mobile app and routine anesthetic care
Control
n=37 Participants
Routine anesthetic care
Pre-medication Given
Yes
0 Participants
0 Participants
Pre-medication Given
No
34 Participants
37 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: (Day 0 + 30 minutes on average from initial baseline) On induction of anesthesia

Whether parent was present in operating room during induction of anesthesia

Outcome measures

Outcome measures
Measure
Perioperative Virtual Reality Headset
n=34 Participants
Perioperative virtual reality headset with mobile app and routine anesthetic care
Control
n=37 Participants
Routine anesthetic care
Parent Present for Induction
No
4 Participants
2 Participants
Parent Present for Induction
Yes
30 Participants
35 Participants

Adverse Events

Perioperative Virtual Reality Headset

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jina Sinskey

University of California, San Francisco

Phone: 857-998-0137

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place