The Relationship Between the Preoperative Neutrophil-to-Lymphocyte Ratio and Postoperative Nausea and Vomiting in Patients Undergoing Septorhinoplasty Surgery

Altun, Aysun Yıldız; Demirel, İsmail; Bolat, Esef; Özcan, Sibel; Altun, Serdar; Aksu, Ahmet; Beştaş, Azize

doi:10.1007/s00266-019-01325-5

Cited by 9 publications

(21 citation statements)

References 21 publications

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“…They compared nausea vomiting at recovery, antiemetic requirement at recovery, and at 24 h postoperatively between the groups and reported statistically significant differences. The results showed that NLR values over 2 calculated in the preoperative period could be an indicator of PONV risk, and they claimed that antiemetic prophylaxis could be given according to this value [3]. The present study indicates similar results; it was found that antiemetic use in 24 h and nausea/vomiting ratios were significantly higher in the group with higher NLR values.…”

Section: Discussionsupporting

confidence: 81%

“…In their study conducted with 80 patients, Altun et al (2019) grouped the patients retrospectively according to their NLR values below and above 2. They compared nausea vomiting at recovery, antiemetic requirement at recovery, and at 24 h postoperatively between the groups and reported statistically significant differences.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative nausea and vomiting (PONV) is defined as gagging or nausea-vomiting within the postoperative 24 hours [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of nausea and vomiting changes according to the surgical cases performed under general anesthesia and, generally, its incidence is reported to be between 30% and 80% [2][3][4]. Nausea and vomiting are among the important problems that commonly occur in the postoperative period and that decreases patient satisfaction [5].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Can Neutrophil-to-Lymphocyte or Platelet-to-Lymphocyte Ratio Be Used to Predict Postoperative Nausea and Vomiting in Breast Reduction?

Karaca¹,

Doğan²

2020

Cureus

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

“…Postoperative nausea and vomiting (PONV) is defined as gagging or nausea-vomiting within the postoperative 24 hours [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Can Neutrophil-to-Lymphocyte or Platelet-to-Lymphocyte Ratio Be Used to Predict Postoperative Nausea and Vomiting in Breast Reduction?

Karaca¹,

Doğan²

2020

Cureus

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“…While the cut-off values determined for NLR in predicting PONV in previous studies were generally around 2 [1,2,21], this value was found to be 3.01 in the preoperative period and 7.13 in the postoperative period in our study. This difference may be related to the stress response of the patients and the inflammatory response to chest tube application in pneumothorax cases.…”

Section: Discussioncontrasting

confidence: 70%

Parameters Affecting Nausea and Vomiting After Thoracoscopic Wedge Resection in Patients With Pneumothorax

Zengin¹,

Sazak²,

Baldemir³

et al. 2021

Cureus

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Background: Postoperative nausea and vomiting (PONV) is one of the complications that can occur frequently in the first 24 hours postoperatively. We aimed to investigate the parameters that could predict PONV in patients who underwent thoracoscopic wedge resection for pneumothorax.Materials and Methods: After obtaining the approval of the ethics committee (ID: 2012-KEAK-15/2358, Date: 14.09.2021), the records of patients who underwent elective video-assisted thoracic surgery (VATS) between January 2018 and June 2021 were analyzed retrospectively. The patients who underwent elective thoracoscopic wedge resection for pneumothorax, who were between the ages of 18-65, American Society of Anesthesiologists (ASA) I-III, and whose body mass index (BMI) was between 18-30 kg/m 2 were included in the study. However, patients who received a blood transfusion or used antiemetics, anticholinergic drugs, and analgesics continuously were not included. In addition, patients with a history of chronic pain were not included in the study. The patients were divided into two groups, the PONV group (Group 1) and the control group (Group 2). The PONV incidence, visual analog scale (VAS) scores, 24-hour morphine consumption, additional analgesic requirement, neutrophil/lymphocyte ratios (NLR), and platelet/lymphocyte ratios (PLR) were evaluated.Results: The groups were similar in terms of demographic data (p > 0.05). Additional analgesic requirement and 24-hour morphine consumption were significantly higher in the PONV group (p: 0.005, p < 0.001, respectively). Preoperative NLR (p < 0.001), postoperative NLR (p < 0.001), preoperative PLR (p < 0.022), the VAS scores of the first hour (p: 0.004), and 24 th hour (p < 0.001) were statistically significantly higher in the PONV group compared to the control group.Conclusions: NLR parameters can be effective with high sensitivity and specificity in predicting PONV during the preoperative and postoperative period. Besides, preoperative PLR may also be effective in predicting PONV. A treatment that can be planned according to these parameters may play a key role in preventing PONV. In addition, efficient perioperative analgesia management may be effective in reducing PONV by limiting the emetogenic analgesics.

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The risk factors of postoperative nausea and vomiting in patients undergoing laparoscopic sleeve gastrectomy and laparoscopic distal gastrectomy: a propensity score matching analysis

Chen

ZhengYao

et al. 2023

Sci Rep

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Postoperative nausea and vomiting (PONV) is a common side effect after laparoscopic surgery. The aim of the study is to investigate the variables that could predict PONV in patients who underwent laparoscopic gastrectomy. We divided patients who underwent laparoscopic gastrectomy into PONV and No-PONV groups. Propensity score matching (PSM) was applied to adjust confounding factors for further validation, and ordinal logistic regression analysis was used to identify predictors for PONV. In the ordinal logistic regression analysis, the preoperative neutrophil-to-lymphocyte ratio (NLR) (odds ratio [OR]: 3.19, 95% confidence interval [CI]: 1.38–7.38; p < 0.01) was identified as an independent risk factor for the presence of PONV and a predictor of the severity of PONV (OR: 3.44, 95% CI: 1.67–5.20; p < 0.01) in 94 PSM patients. Besides, NLR was positively correlated with the PONV score (r = 0.534, p < 0.001). In the receiver-operating characteristic (ROC) curve analysis, an NLR with an optimal cutoff value of 1.59 predicted severe PONV with a sensitivity of 72% and specificity of 81%. The NLR was an independent risk factor for the presence of PONV, and a high NLR tends to be positively associated with the severity of PONV after laparoscopic gastrectomy.

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The Relationship Between the Preoperative Neutrophil-to-Lymphocyte Ratio and Postoperative Nausea and Vomiting in Patients Undergoing Septorhinoplasty Surgery

Cited by 9 publications

References 21 publications

Can Neutrophil-to-Lymphocyte or Platelet-to-Lymphocyte Ratio Be Used to Predict Postoperative Nausea and Vomiting in Breast Reduction?

Can Neutrophil-to-Lymphocyte or Platelet-to-Lymphocyte Ratio Be Used to Predict Postoperative Nausea and Vomiting in Breast Reduction?

Parameters Affecting Nausea and Vomiting After Thoracoscopic Wedge Resection in Patients With Pneumothorax

The risk factors of postoperative nausea and vomiting in patients undergoing laparoscopic sleeve gastrectomy and laparoscopic distal gastrectomy: a propensity score matching analysis

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