{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:36:59Z","timestamp":1786653419445,"version":"build-2736575974"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"129","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Perioperative anxiety and discomfort are common in orthopaedic fracture surgery under regional anaesthesia. Music therapy, a nonpharmacological intervention, may reduce anxiety and improve patient experience; however, its role in this context is underexplored.\n                    <jats:bold>Methods:<\/jats:bold>\n                    This retrospective cohort study evaluated 240 adults undergoing elective closed limb fracture surgery under regional anaesthesia (January 2023\u2013December 2024). The patients were divided into a Music group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009120) receiving perioperative music via headphones and a Control group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009120) receiving standard care. Outcomes included preoperative anxiety (State-Trait Anxiety Inventory \u2212 State scale [STAI-S]), postoperative pain (Visual Analogue scale), sedative\/opioid use (midazolam, fentanyl), vital signs, satisfaction and complications.\n                    <jats:bold>Results:<\/jats:bold>\n                    The following baseline characteristics were similar for the two groups: age (48.3\u2009\u00b1\u200913.9 vs. 49.4\u2009\u00b1\u200915.5 years), gender (55% male vs. 49.2% female), American Society of Anesthesiologists (ASA) status (19.2% vs. 19.2% ASA I, 60.0% vs. 64.2% ASA II, 20.8% vs. 16.7% ASA III). Compared with those in the Control group, postoperative anxiety scores (STAI-S) were lower in the Music group 2 hours after surgery (39.5\u2009\u00b1\u20097.8 vs. 48.2\u2009\u00b1\u20099.1,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.01). Their postoperative pain scores were also reduced (2.9\u2009\u00b1\u20090.9 vs. 4.3\u2009\u00b1\u20091.3,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.01). The Music group required less midazolam (0.03\u2009\u00b1\u20090.01 vs. 0.04\u2009\u00b1\u20090.01\u2009mg\/kg) and fentanyl (0.4\u2009\u00b1\u20090.2 vs. 0.6\u2009\u00b1\u20090.2\u2009\u03bcg\/kg; both\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.01) and had higher satisfaction (8.4\u2009\u00b1\u20090.7 vs. 7.2\u2009\u00b1\u20091.0,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.01). Complication rates were similar (5.0% vs. 6.7%,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u20090.56).\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Perioperative music therapy reduced anxiety, pain and sedative\/opioid use whilst improving satisfaction in orthopaedic surgery under regional anaesthesia. Music is a safe, low-cost adjunct to enhance perioperative care in awake surgical settings.\n                  <\/jats:p>","DOI":"10.4103\/nah.nah_128_25","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T12:00:37Z","timestamp":1767441637000},"page":"887-894","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Perioperative Music Therapy Reduces Anxiety, Pain and Medication Use in Orthopaedic Fracture Surgery Under Regional Anaesthesia: A Retrospective Observational Study"],"prefix":"10.4103","volume":"27","author":[{"given":"YiQiang","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Bao","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RuoMeng","family":"Pei","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, Shanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"R1-20260112","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1016\/j.jagp.2023.07.002","article-title":"Perioperative anxiety and depression in older adults: epidemiology and 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