Perioperative medicine & outcomes
Sociodemographic Disparities in Postoperative Nausea and Vomiting
Authors' conclusion
Racial and sociodemographic disparities exist in the incidence of PONV and clinician adherence to a PONV prophylaxis protocol.
Study context
- Population
- All patients eligible for an institution-specific postoperative nausea and vomiting (PONV) prophylaxis protocol (2015–2017)
- Participants
- 8,384 patients
- Exposure
- Sociodemographic groups vs White or privately insured patients
- Outcome
- PONV incidence and clinician adherence to PONV prophylaxis protocol
Methodological detailsmultivariable logistic regression, Tukey-Kramer correction for multiple comparisons
- Multivariable logistic regression
- Tukey-Kramer correction for multiple comparisons
Main finding
As reported in the abstract
PONV incidence and protocol adherence
Adjusted odds ratio (95% CI)P value
Black vs WhitePONV, all patients
0.83(0.73–0.95)
P = 0.006Black vs WhitePONV, when protocol adhered to
0.81(0.70–0.93)
P = 0.003Medicaid vs Privately insuredPONV, when protocol adhered to
0.72(0.64–1.04)
P = 0.017Hispanic vs WhitePONV, high-risk patients when protocol followed
2.96(1.18–7.42)
adjusted P = .022Black vs WhiteProtocol adherence, moderate risk
0.76(0.64–0.91)
P = 0.003Black vs WhiteProtocol adherence, high risk
0.57(0.42–0.78)
P = 0.0004Observational data: associations, not effects.
Original publication
Sociodemographic Disparities in Postoperative Nausea and Vomiting. Anesth Analg. Published 19 May 2023. doi:10.
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