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Metaanálisis2015Acceso abierto

The Effects of Perioperative Music Interventions in Pediatric Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

van der Heijden MJ, Oliai Araghi S, van Dijk M, Jeekel J, Hunink MG

PloS one · 78 citas

Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Organización sin fines de lucro
Stichting Coolsingel

Según 1 financiador declarado y la declaración de financiación del texto completo.

Publicación

Publicado
2015-08-06 · PLoS One · vol. 10 · número 8 · pág. e0133608
Editorial
Public Library of Science
Citado
127 citas · más que el 85% de estudios similares · 1.9× el promedio de su campo
Referencias
57 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Music Therapy and Health · Pediatric Pain Management Techniques · Infant Development and Preterm Care
Palabras clave
Randomized controlled trial, Medicine, Visual analogue scale, Perioperative, Anxiety, Meta-analysis, Music therapy, Distress, Physical therapy, Psychological intervention, MEDLINE, Systematic review, Anesthesia, Surgery, Internal medicine, Clinical psychology, Psychiatry
MeSH
humans, pain, pain measurement, music therapy, stress, psychological, anxiety, databases, factual, randomized controlled trials as topic

5 autores

  • Marianne J. E. van der Heijden🇳🇱 · autor de correspondenciaErasmus MC; Erasmus University Rotterdam
  • Sadaf Oliai Araghi🇳🇱Erasmus MC; Erasmus University Rotterdam
  • Monique van Dijk🇳🇱Erasmus MC; Erasmus University Rotterdam
  • J Jeekel🇳🇱Erasmus MC; Erasmus University Rotterdam
  • M. G. Myriam Hunink🇺🇸🇳🇱Harvard University; Erasmus MC; Erasmus University Rotterdam

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objective

Music interventions are widely used, but have not yet gained a place in guidelines for pediatric surgery or pediatric anesthesia. In this systematic review and meta-analysis we examined the effects of music interventions on pain, anxiety and distress in children undergoing invasive surgery.

Data sources

We searched 25 electronic databases from their first available date until October 2014.

Study selection

Included were all randomized controlled trials with a parallel group, crossover or cluster design that included pediatric patients from 1 month to 18 years old undergoing minimally invasive or invasive surgical procedures, and receiving either live music therapy or recorded music.

Data extraction and synthesis

4846 records were retrieved from the searches, 26 full text reports were evaluated and data was extracted by two independent investigators.

Main outcome measures

Pain was measured with the Visual Analogue Scale, the Coloured Analogue Scale and the Facial Pain Scale. Anxiety and distress were measured with an emotional index scale (not validated), the Spielberger short State Trait Anxiety Inventory and a Facial Affective Scale.

Results

Three RCTs were eligible for inclusion encompassing 196 orthopedic, cardiac and day surgery patients (age of 1 day to 18 years) receiving either live music therapy or recorded music. Overall a statistically significant positive effect was demonstrated on postoperative pain (SMD -1.07; 95%CI-2.08; -0.07) and on anxiety and distress (SMD -0.34 95% CI -0.66; -0.01 and SMD -0.50; 95% CI -0.84; - 0.16.

Conclusions and relevance

This systematic review and meta-analysis indicates that music interventions may have a statistically significant effect in reducing post-operative pain, anxiety and distress in children undergoing a surgical procedure. Evidence from this review and other reviews suggests music therapy may be considered for clinical use.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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