Perioperative medicine & outcomes

Association between plasma growth differentiation factor-15 and postoperative nausea and vomiting incidence and severity: a secondary analysis of a randomised trial

Br J AnaesthPublished Secondary analysis of a randomised controlled trial

Authors' conclusion

Lower preoperative plasma GDF-15 concentrations or low-maintaining trajectory were associated with higher odds of PONV in laparoscopic gastrointestinal surgery patients.

Study context

Population
At-risk adults undergoing laparoscopic gastrointestinal surgery860 (96.0%) female
Participants
896 adults
Comparison
Preoperative GDF-15 tertiles; GDF-15 trajectories
Primary endpoint
PONV (nausea, retching, or vomiting)
Follow-up
Within 120 h after surgery

Primary result

As reported in the abstract

PONV within 120 h after surgery · 0-120 h after surgery
Adjusted odds ratio (95% CI)P value
Second tertile vs First tertilepreoperative GDF-15
0.63(0.44–0.91)
P = 0.013
Third tertile vs First tertilepreoperative GDF-15
0.44(0.30–0.64)
P < 0.001
High-increasing vs Low-maintainingGDF-15 trajectory
0.64(0.46–0.89)
P = 0.008
Postoperative nausea and vomiting (PONV) overall
531 (59.3%)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association between plasma growth differentiation factor-15 and postoperative nausea and vomiting incidence and severity: a secondary analysis of a randomised trial. Br J Anaesth. Published 29 May 2025. doi:10.1016/j.bja.2025.05.001

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