rTMS for Anxiety in Women Undergoing Elective Surgery: A Randomized Protocol

IntroductionPerioperative anxiety is a widespread psychological issue among patients undergoing surgery and often has a significant impact on patient outcomes. Due to physiological and psychological characteristics such as hormonal fluctuations and higher emotional sensitivity, female patients generally have a higher incidence of perioperative anxiety compared to male patients. This investigation aims to examine the repetitive transcranial magnetic stimulation (rTMS) effects on perioperative anxiety in female patients.MethodsThis single-center, randomized, regulated investigation will be performed at the Affiliated Hospital of Jiaxing University. The investigation plans to enroll 252 female individuals scheduled for elective surgery under general anesthesia, who will be classified in a random manner to active rTMS or sham rTMS. The primary outcome is the change in anxiety score from baseline to 3 days post-operation. Secondary outcome measures include anxiety scores, occurrence of postoperative delirium (POD), pain scores, frailty scores, and sleep quality scores. Intention-to-treat and per-protocol populations were employed to conduct analyses.DiscussionThis research aims to estimate the influence of rTMS on perioperative anxiety in female patients. It is expected to offer a successful non-pharmacological treatment approach for clinical practice, alleviate anxiety symptoms in female patients during the perioperative period, and enhance the safety of surgical procedure and the quality of post-operative recovery for patients.Clinical trial registrationhttps://www.chictr.org.cn/index.html, identifier ChiCTR2500097991.