Perioperative medicine & outcomes
Postoperative and postdischarge nausea and vomiting following ambulatory eye, head, and neck surgeries: a retrospective cohort study comparing incidence and associated factors
Authors' conclusion
Patients experiencing N/V in the PACU are observed to develop PDNV disproportionately by a factor of 2.79.
Study context
- Population
- Adults undergoing ambulatory ophthalmology or otolaryngology procedures under GA
- Participants
- 10,231 adults
- Outcome
- Incidence of PONV and/or PDNV and associated patient and anesthetic factors
Main finding
As reported in the abstract
Any N/V (PONV and/or PDNV)
Patients developing N/V (postoperative nausea and vomiting (PONV) and/or PDNV)
17.8%
Greater risk of reporting PDNV after PONV
2.79
95% CI 2.24–3.46
Observational data: associations, not effects.
Further findings
Factors associated with any N/V (binary logistic regression)
- Younger age, opioid use and female sex associated with increased likelihood of any N/V
Factors associated with PONV only
- Increased nitrous oxide use and higher ASA P/S class associated with PONV, but not PDNV or PONV plus PDNV
Original publication
Postoperative and postdischarge nausea and vomiting following ambulatory eye, head, and neck surgeries: a retrospective cohort study comparing incidence and associated factors. Perioper Med (Lond). Published 20 January 2024. doi:10. 1186/ s13741-024-00360-4
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