Document Detail


Does measurement of preoperative anxiety have added value for predicting postoperative nausea and vomiting?
MedLine Citation:
PMID:  15845719     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Preoperative anxiety has been suggested as a predictor of postoperative nausea and vomiting (PONV), but supporting data are lacking. We quantified the added predictive value of preoperative anxiety to established predictors of PONV in 1389 surgical inpatients undergoing various procedures, by using multivariate logistic regression analysis. Investigated predictors were a history of PONV or motion sickness, smoking, sex, age, ethnicity, body mass index, ASA physical status, surgery type, duration of anesthesia, anesthetic technique, and postoperative opioid analgesia. Anxiety was measured by the Spielberger State-Trait Anxiety Inventory and the Amsterdam Preoperative Anxiety and Information Scale. The outcome was the occurrence of PONV in the first 24 h after surgery. The area under the receiver operating characteristic curve of a multivariate (logistic regression) model including sex, age, smoking, history of PONV or motion sickness, surgery type, and anesthetic technique was 0.72 (95% confidence interval, 0.70-0.74). There was a weak but significant association of anxiety with PONV, but the addition of anxiety to the model did not further increase the area under the receiver operating characteristic curve. Therefore, routine preoperative measurement of anxiety does not seem warranted, provided that the other predictors are already considered.
Authors:
Jolanda E Van den Bosch; Karel G Moons; Gouke J Bonsel; Cor J Kalkman
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  100     ISSN:  0003-2999     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-04-22     Completed Date:  2005-05-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1525-32, table of contents     Citation Subset:  AIM; IM    
Affiliation:
Department of Perioperative Care and Emergency Medicine, University Medical Center Utrecht, Mail-Stop E. 03.511, PO Box 85500, 3508 GA Utrecht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Anxiety / complications*
Female
Humans
Logistic Models
Male
Middle Aged
Postoperative Nausea and Vomiting / etiology*
ROC Curve

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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