Prevalence study for postoperative nausea vomiting: A training hospital example

Çanakçı, Ebru; Çatak, Tuba; Basar, HE; Cebeci, Zübeyir; Coşkun, İlker; Saltali, AO; Altınbaş, Ali

doi:10.4103/njcp.njcp_399_20

Cited by 6 publications

(2 citation statements)

References 13 publications

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“…Besides accounting for a quarter of Apfel score, females were more likely to be non-smoking ( 28 ) and have motion sickness than males ( 29 ). This agreed with the previous epidemiological study, in which females accounted for 93.3% in Apfel score 3 population and 100% in Apfel score 4 population ( 30 ). Without any PONV prophylaxis, the estimated probability of PONV in Apfel ≥ 2 patients were between 39 and 78%, whereas if Apfel ≥ 3 is present, it may rise up to 78% ( 1 ).…”

Section: Discussionsupporting

confidence: 93%

Transcutaneous Electrical Acupoint Stimulation Decreases the Incidence of Postoperative Nausea and Vomiting After Laparoscopic Non-gastrointestinal Surgery: A Multi-Center Randomized Controlled Trial

et al. 2022

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ImportancePostoperative nausea and vomiting (PONV) gives patients a bad experience and negates their good recovery from surgery.ObjectiveThis trial aims to assess the preventive effectiveness of transcutaneous electrical acupoint stimulation (TEAS) on the incidence of PONV in high-risk surgical patients.DesignThe large sample size, multicenter, evaluator-blinded, and randomized controlled study was conducted between September 3, 2019 to February 6, 2021.SettingThe 12 hospitals were from different Chinese provinces.ParticipantsAfter obtaining ethics approval and written informed consent, 1,655 patients with Apfel score ≥ 3 points were enrolled for selective laparoscopic non-gastrointestinal surgery under general anesthesia.InterventionsPatients were randomly allocated into the TEAS and Sham group with a 1:1 ratio. The TEAS group was stimulated on bilateral Neiguan and Zusanli acupoints after recovery from anesthesia on the surgical day and the next morning for 30 min, while the Sham group received an identical setting as TEAS but without currents delivered. Electronic patient self-reported scale was used to evaluate and record the occurrence of PONV.Main Outcomes and MeasuresPrimary clinical end point is the incidence of PONV which was defined as at least one incidence of nausea, retching, or vomiting after operation within postoperative 24 h.ResultsCompared with the Sham treatment, the TEAS lowered the PONV incidence by 4.8% (29.4 vs. 34.2%, P = 0.036) and vomiting incidence by 7.4% (10.4 vs. 17.8%, P < 0.001). TEAS also lowered persistent nausea incidence and PONV scores and decreased PONV related complications and Quality of Recovery−40 scores (P < 0.05). TEAS lowered the 24 h PONV risk by 20% (OR, 0.80, 95% CI, 0.65 −0.98; P = 0.032), and lowered hazard ratio by 17% (HR, 0.83, 95% CI, 0.70–0.99; P = 0.035). Both TEAS and palonosetron were the independent PONV risk protective factors for 24 h PONV incidence and cumulative PONV incidence. The combination of TEAS and palonosetron was the most effective strategy to reduce the PONV incidence (P < 0.001).Conclusions and RelevanceTEAS attenuated the PONV incidence and severity in high-risk surgical patients and may be applied clinically as a complement therapy to prevent PONV.Clinical Trial Registrationhttps://clinicaltrials.gov/ct2/show/NCT04043247, identifier: NCT04043247.

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Section: Discussionsupporting

confidence: 93%

Transcutaneous Electrical Acupoint Stimulation Decreases the Incidence of Postoperative Nausea and Vomiting After Laparoscopic Non-gastrointestinal Surgery: A Multi-Center Randomized Controlled Trial

et al. 2022

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“…4,5 Recently, a study indicated that the risk of PONV in patients undergoing gynecological surgery was 6.27 times higher than in patients undergoing other types of surgery. 6 This all indicates the necessity to prevent and control the risk of PONV in female patients.…”

Section: Introductionmentioning

confidence: 99%

A web‐based dynamic predictive model for postoperative nausea and vomiting in patient receiving gynecological laparoscopic surgery

Liu,

Fang,

Cheng

et al. 2024

J of Obstet and Gynaecol

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ObjectiveThe aim of this study was to develop a web‐based dynamic prediction model for postoperative nausea and vomiting (PONV) in patients undergoing gynecologic laparoscopic surgery.MethodsThe patients (N = 647) undergoing gynecologic laparoscopic surgery were included in this observational study. The candidate risk‐factors related to PONV were included through literature search. Lasso regression was utilized to screen candidate risk‐factors, and the variables with statistical significance were selected in multivariable logistic model building. The web‐based dynamic Nomogram was used for model exhibition. Accuracy and validity of the experimental model (EM) were evaluated by generating receiver operating characteristic (ROC) curves and calibration curves. Hosmer–Lemeshow test was used to evaluate the goodness of fit of the model. Decision curve analysis (DCA) was used to evaluate the clinical practicability of the risk prediction model.ResultsUltimately, a total of five predictors including patient‐controlled analgesia (odds ratio [OR], 4.78; 95% confidence interval [CI], 1.98–12.44), motion sickness (OR, 4.80; 95% CI, 2.71–8.65), variation of blood pressure (OR, 4.30; 95% CI, 2.41–7.91), pregnancy vomiting history (OR, 2.21; 95% CI, 1.44–3.43), and pain response (OR, 1.64; 95% CI, 1.48–1.83) were selected in model building. Assessment of the model indicates the discriminating power of EM was adequate (ROC‐areas under the curve, 93.0%; 95% CI, 90.7%–95.3%). EM showed better accuracy and goodness of fit based on the results of the calibration curve. The DCA curve of EM showed favorable clinical benefits.ConclusionsThis dynamic prediction model can determine the PONV risk in patients undergoing gynecologic laparoscopic surgery.

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Is Intravenous Dextrose Infusion During Emergence From Anesthesia Effective in Improving the PONV in Gynecologic Laparoscopy? A Randomized Controlled Trial

Liu,

Zhang,

Cheng

et al. 2024

Journal of Minimally Invasive Gynecology

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Prevalence study for postoperative nausea vomiting: A training hospital example

Cited by 6 publications

References 13 publications

Transcutaneous Electrical Acupoint Stimulation Decreases the Incidence of Postoperative Nausea and Vomiting After Laparoscopic Non-gastrointestinal Surgery: A Multi-Center Randomized Controlled Trial

Transcutaneous Electrical Acupoint Stimulation Decreases the Incidence of Postoperative Nausea and Vomiting After Laparoscopic Non-gastrointestinal Surgery: A Multi-Center Randomized Controlled Trial

A web‐based dynamic predictive model for postoperative nausea and vomiting in patient receiving gynecological laparoscopic surgery

Is Intravenous Dextrose Infusion During Emergence From Anesthesia Effective in Improving the PONV in Gynecologic Laparoscopy? A Randomized Controlled Trial

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