Document Detail


The discriminating power of a risk score for postoperative vomiting in adults undergoing various types of surgery.
MedLine Citation:
PMID:  9605364     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Recently, we have demonstrated that the probability of postoperative vomiting (PV) following ENT surgery with inhalational anaesthetics can be predicted using a risk score. This score is based on gender, age, smoking status, history of motion sickness or postoperative nausea and vomiting and the duration of anaesthesia. Therefore, it is of interest whether this score is also accurate in predicting PV in patients undergoing different types of surgery. METHODS: Inpatients scheduled for bone, vascular, general or eye surgery were included in a prospective survey for PV over 24 h. Data of 1091 patients were analyzed, of which 542 were used for the validation of the previously constructed risk score (Score I). The data of the remaining 549 patients were used to evaluate the risk factors that contribute to PV in this setting and to develop a new score (Score II). The discriminating power of both scores to predict PV was tested in the validation set (n=542) and compared by calculating the area under the receiver operating characteristic (ROC) curves. RESULTS: The area under the ROC curve of Score I was 0.77 (SD 0.024). Risk factors for PV in the evaluation set were female gender, young age, history of motion sickness or postoperative nausea and vomiting and the type of surgery. The area under the curve of Score II was 0.75 (SD 0.026) and was not significantly different from Score I (P=0.57). CONCLUSION: Score I was accurate in predicting PV in patients after most types of surgery with volatile anaesthetics, which suggests that this score might be useful for other centres as well.
Authors:
C C Apfel; C A Greim; I Haubitz; D Grundt; C Goepfert; P Sefrin; N Roewer
Related Documents :
11426094 - Effect of prophylactic ondansetron on postoperative nausea and vomiting after elective ...
20377504 - Ligasure versus diathermy scissors tonsillectomy: a controlled randomized study.
20526194 - Phase ii study to evaluate the safety and efficacy of the oral neurokinin-1 receptor an...
23959574 - Rheumatoid arthritis pharmacotherapy and predictors of disease-modifying anti-rheumatic...
14605954 - Micronized flavonoids in pain control after hemorrhoidectomy: a prospective randomized ...
3166654 - Arthroscopic meniscal repair with two-year follow-up: a clinical review.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  42     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-07-23     Completed Date:  1998-07-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  502-9     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology, University of Wuerzburg, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Anesthesia, General
Anesthetics, Inhalation / adverse effects
Area Under Curve
Discriminant Analysis
Evaluation Studies as Topic
Female
Forecasting
Humans
Male
Middle Aged
Motion Sickness / complications
Nausea / complications
Postoperative Complications*
Probability
Prospective Studies
ROC Curve
Reproducibility of Results
Risk Factors
Sex Factors
Smoking
Surgical Procedures, Elective
Surgical Procedures, Operative
Time Factors
Vomiting / etiology*
Chemical
Reg. No./Substance:
0/Anesthetics, Inhalation
Comments/Corrections
Comment In:
Acta Anaesthesiol Scand. 1998 May;42(5):493-4   [PMID:  9605362 ]

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


Previous Document:  A risk score to predict the probability of postoperative vomiting in adults.
Next Document:  Effects of esmolol on haemodynamic response to CO2 pneumoperitoneum for laparoscopic surgery.