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 citations
How it was studied
- Design
- Meta-analysis (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Nonprofit
- Stichting Coolsingel
Based on 1 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2015-08-06 · PLoS One · vol. 10 · issue 8 · p. e0133608
- Publisher
- Public Library of Science
- Cited
- 127 citations · more than 85% of similar papers · 1.9× the field average
- References
- 57 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Music Therapy and Health · Pediatric Pain Management Techniques · Infant Development and Preterm Care
- Keywords
- 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 authors
From NL, US
- Marianne J. E. van der Heijden · correspondingErasmus MC; Erasmus University Rotterdam
- Sadaf Oliai AraghiErasmus MC; Erasmus University Rotterdam
- Monique van DijkErasmus MC; Erasmus University Rotterdam
- J JeekelErasmus MC; Erasmus University Rotterdam
- M. G. Myriam HuninkHarvard University; Erasmus MC; Erasmus University Rotterdam
Abstract
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.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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