Digital Health Interventions in Pediatric Perioperative Care

作者：Ziyue Luo, Ruihao Zhou, Kailei Nong, Xiran Peng, Lu Chen, Peiyi Li, Sisi Deng, Mengchan Ou, Xuechao Hao, Ling Ye, Yaqiang Wang, Guo Chen, Sheyu Li, Tao Zhu · 发表于：Archives of Pediatrics and Adolescent Medicine · 年份：2025 · DOI：10.1001/jamapediatrics.2025.3099 · 被引用次数：9 · 研究领域：Pediatric Pain Management Techniques、Music Therapy and Health、Family and Patient Care in Intensive Care Units

Importance: Pediatric surgical patients often face considerable perioperative challenges, including anxiety and pain. Digital health interventions offer promise, but their efficacy remains uncertain. Objective: To compare the effects of digital health interventions in pediatric perioperative care. Data Sources: PubMed, Embase, Web of Science, CENTRAL, and CINAHL databases were searched up to March 1, 2025. Study Selection: Randomized clinical trials (RCTs) involving pediatric patients (aged ≤18 years) undergoing surgery with general anesthesia, where digital technology was used as a distraction intervention. Data Extraction and Synthesis: A frequentist network meta-analysis with random-effects model was used to calculate standardized mean differences (SMDs) or mean differences (MDs) with 95% CIs. Interventions were ranked using P values, risk of bias assessed using the Cochrane risk of bias tool 2, and certainty of evidence rated using the Grading of Recommendations, Assessment, Development, and Evaluations framework. Main Outcomes and Measures: Critical outcomes included pediatric preoperative anxiety, postoperative pain, emergence delirium, and induction compliance. Important but noncritical outcomes encompassed parental preoperative anxiety and postoperative satisfaction. Results: Of 7734 RCTs screened, 49 were included involving 4535 youth (pooled mean age, 7.42 years; 95% CI, 6.85 to 7.99; 2989 [65.9%] male) with 7 interventions: virtual reality (VR), 2-dimensional (2D) ...