| Title: |
Development and Validation of EVANpedia for the assessment of Perioperative Experience in Pediatric Patients |
| Authors: |
Bringuier, Sophie; Dadure, Christophe; Evain, Jean-Noel; Kern, Delphine; Michelet, Daphné; Auquier, Pascal; Aouinti, Safa; Molinari, Nicolas; Sola, Chrystelle; Capdevila, Xavier; Pico, Julien |
| Contributors: |
Département d'Anesthésie-Réanimation Gui de Chauliac - CHU Montpellier; Centre Hospitalier Régional Universitaire Montpellier (CHRU Montpellier)-Hôpital Gui de Chauliac CHU Montpellier; Centre Hospitalier Régional Universitaire Montpellier (CHRU Montpellier); Institut Desbrest d'Epidémiologie et de Santé Publique (IDESP); Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM); Institut de Génomique Fonctionnelle (IGF); Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université de Montpellier (UM); CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble (CHUGA); Service Anesthésie - Hôpital des enfants CHU Toulouse; Pôle Anesthésie Réanimation CHU de Toulouse; Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)-Centre Hospitalier Universitaire de Toulouse (CHU Toulouse); Hôpital universitaire Robert Debré Reims (CHU Reims); Cognition, Santé, Société (C2S); Université de Reims Champagne-Ardenne (URCA)-SFR CAP Santé (Champagne-Ardenne Picardie Santé); Université de Reims Champagne-Ardenne (URCA)-Université de Reims Champagne-Ardenne (URCA)-Maison des Sciences Humaines de Champagne-Ardenne (MSH-URCA); Université de Reims Champagne-Ardenne (URCA); Centre d'études et de recherche sur les services de santé et la qualité de vie (CEReSS); Aix Marseille Université (AMU); Médecine de précision par intégration de données et inférence causale (PREMEDICAL); Centre Inria d'Université Côte d'Azur; Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-Institut Desbrest d'Epidémiologie et de Santé Publique (IDESP); Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM); Institut des Neurosciences de Montpellier (INM); VinUniversity; Vinmec Healthcare System (VINMEC) |
| Source: |
ISSN: 0003-3022 ; Anesthesiology ; https://hal.science/hal-05558214 ; Anesthesiology, 2026, ⟨10.1097/ALN.0000000000006038⟩. |
| Publisher Information: |
CCSD; Lippincott, Williams & Wilkins |
| Publication Year: |
2026 |
| Collection: |
Université de Reims Champagne-Ardenne: Archives Ouvertes (HAL) |
| Subject Terms: |
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology; [SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics |
| Description: |
International audience ; Background: Patient-Reported Outcome and Experience Measures are essential for advancing pediatric patient-centered care in the perioperative context. Combining complementary patient-centered instruments supports a broader, multidimensional evaluation of perioperative care.The Pediatric Scale for Quality of Recovery is a patient-reported outcome measure assessing quality of recovery after surgery and anesthesia in children and represents an important step in this field. This study aimed to develop and validate a self-reported instrument, the Evaluation du Vécu de l'Anesthésie Générale en Pédiatrie (EVANpedia), designed to assess experience in children and adolescents within 24 hours after surgery.Methods: The study included a developmental phase to generate items and a psychometric validation phase. The multidimensional structure of EVANpedia was explored using factor analysis, item internal consistency, and discriminant analyses. The Rasch model assessed the unidimensionality of each dimension, and reliability was evaluated using McDonald's ω coefficient. Convergent and external validity were examined using concurrent self-report instruments and clinical data.Results: Six hundred patients (7-17 years) were included across four anesthesia departments. Following the development and validation phases, EVANpedia comprised 26 items grouped into six dimensions: Anxiety, Thirst and Hunger, Loss of Autonomy, Pain, Nausea and Vomiting, and Confusion. Internal construct validity was high, with excellent fit statistics across all dimensions (from 0.95 to 1.03). Correlations between EVANpedia scores and all concurrent measures supported convergent validity. Nine percent of children reported disappointment with their perioperative experience, showing significantly lower overall EVANpedia scores (50.1 ± 12.1 vs. 62.8 ± 15.1; P < 0.001). Overall and all dimensional EVANpedia scores demonstrated excellent sensitivity to clinical change, supporting the responsiveness of the instrument.Conclusion: ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/41838953; PUBMED: 41838953 |
| DOI: |
10.1097/ALN.0000000000006038 |
| Availability: |
https://hal.science/hal-05558214; https://doi.org/10.1097/ALN.0000000000006038 |
| Accession Number: |
edsbas.1108C21D |
| Database: |
BASE |