Perioperative medicine & outcomes
Racial and Ethnic Differences in Postoperative Nausea and Vomiting Care
Authors' conclusion
This retrospective study suggests significant differences between the administrations of antiemetics to patients of different races or ethnicities, with Black patients often being less likely to receive an antiemetic than patients belonging to all other races or ethnicities.
Study context
- Population
- Adults (>18 years) undergoing cancer-related operating room procedures under anesthesia, single institution, March 2016–August 2021
- Participants
- 60,595 adults
- Exposure
- Antiemetic receipt by self-identified race or ethnicity
- Asiann = 3,053
- Blackn = 5,376reference
- Hispanic or Latinon = 8,431
- Whiten = 42,533
- Another racen = 1,202
- Outcome
- Receipt of an antiemetic preoperatively, intraoperatively and in the recovery room
Methodological detailssingle-institution, multivariable logistic regression
- Single-institution
- Multivariable logistic regression
Main finding
As reported in the abstract
Antiemetic receipt by care phase
Each group vs blackOdds ratio (95% CI)P value
Whitepreoperative holding area; 8962 of 42,533 [21.1%] vs 1006 of 5376 [18.7%]
1.188(1.100–1.283)
P < 0.001Hispanic or Latinointraoperative; 7323 of 8431 [86.9%] vs 4468 of 5376 [83.1%]
1.175(1.065–1.297)
P = 0.001Another raceintraoperative; 1078 of 1202 [89.7%]
1.582(1.290–1.941)
P < 0.001Asianrecovery room; 499 of 3053 [16.3%] vs 646 of 5376 [12%]
1.328(1.127–1.561)
P < 0.001Hispanic or Latinorecovery room; 1335 of 8431 [15.8%]
1.208(1.060–1.377)
P < 0.005Whiterecovery room; 6533 of 42,533 [15.4%]
1.276(1.140–1.427)
P < 0.001- Significant association between race or ethnicity and antiemetic receipt in preoperative holding area, OR and recovery room
- all P < .001
Observational data: associations, not effects.
Original publication
Racial and Ethnic Differences in Postoperative Nausea and Vomiting Care. Anesth Analg. Published 23 August 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →