Risk factors of postoperative nausea and vomiting following ambulatory surgery: A retrospective case-control study
Objective: To explore potential risk factors of postoperative nausea and vomiting (PONV) following ambulatory surgery. Method: Clinical data of 1670 cases receiving ambulatory surgery in Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School from September 2017 to...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844022037185 |
| _version_ | 1797960802804695040 |
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| author | Yue Qian Jian-kun Zhu Bai-ling Hou Yu-e Sun Xiao-ping Gu Zheng-liang Ma |
| author_facet | Yue Qian Jian-kun Zhu Bai-ling Hou Yu-e Sun Xiao-ping Gu Zheng-liang Ma |
| author_sort | Yue Qian |
| collection | DOAJ |
| description | Objective: To explore potential risk factors of postoperative nausea and vomiting (PONV) following ambulatory surgery. Method: Clinical data of 1670 cases receiving ambulatory surgery in Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School from September 2017 to December 2019 were retrospectively analyzed. They were categorized to PONV group and non-PONV group, and perioperative data in both groups were analyzed for assessing risk factors of PONV following ambulatory laparoscopy. Results: There were 156/1,670 (9.3%) PONV cases, and the female and male incidence in recruited cases was 12.0% and 6.0%, respectively. Analyses on perioperative data of them identified that female gender [adjusted odds ratio (aOR) = 2.060, P < 0.001], operation time >1 h (aOR = 1.554, P = 0.011), postoperative pain at rest (aOR = 1.909, P = 0.013) and postoperative pain during activities (aOR = 3.512, P < 0.001) were independent risk factors of PONV following ambulatory surgery. Furthermore, postoperative pain at rest and during activities were linearly, positively correlated to the incidence of PONV. Conclusion: Female gender, operation time >1 h and postoperative pain are closely related with the incidence of PONV following ambulatory surgery. Alleviating postoperative pain properly is one of the methods to reduce risk factors of PONV following ambulatory surgery. |
| first_indexed | 2024-04-11T00:51:01Z |
| format | Article |
| id | doaj.art-4b590dad01f44434aacff00bb20c7f41 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-11T00:51:01Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-4b590dad01f44434aacff00bb20c7f412023-01-05T08:40:25ZengElsevierHeliyon2405-84402022-12-01812e12430Risk factors of postoperative nausea and vomiting following ambulatory surgery: A retrospective case-control studyYue Qian0Jian-kun Zhu1Bai-ling Hou2Yu-e Sun3Xiao-ping Gu4Zheng-liang Ma5Department of Anesthesiology, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, ChinaDepartment of Anesthesiology, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, ChinaDepartment of Anesthesiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, ChinaDepartment of Anesthesiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, ChinaDepartment of Anesthesiology, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, China; Corresponding author.Department of Anesthesiology, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, China; Corresponding author.Objective: To explore potential risk factors of postoperative nausea and vomiting (PONV) following ambulatory surgery. Method: Clinical data of 1670 cases receiving ambulatory surgery in Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School from September 2017 to December 2019 were retrospectively analyzed. They were categorized to PONV group and non-PONV group, and perioperative data in both groups were analyzed for assessing risk factors of PONV following ambulatory laparoscopy. Results: There were 156/1,670 (9.3%) PONV cases, and the female and male incidence in recruited cases was 12.0% and 6.0%, respectively. Analyses on perioperative data of them identified that female gender [adjusted odds ratio (aOR) = 2.060, P < 0.001], operation time >1 h (aOR = 1.554, P = 0.011), postoperative pain at rest (aOR = 1.909, P = 0.013) and postoperative pain during activities (aOR = 3.512, P < 0.001) were independent risk factors of PONV following ambulatory surgery. Furthermore, postoperative pain at rest and during activities were linearly, positively correlated to the incidence of PONV. Conclusion: Female gender, operation time >1 h and postoperative pain are closely related with the incidence of PONV following ambulatory surgery. Alleviating postoperative pain properly is one of the methods to reduce risk factors of PONV following ambulatory surgery.http://www.sciencedirect.com/science/article/pii/S2405844022037185Postoperative nausea and vomitingAmbulatory surgeryPostoperative pain |
| spellingShingle | Yue Qian Jian-kun Zhu Bai-ling Hou Yu-e Sun Xiao-ping Gu Zheng-liang Ma Risk factors of postoperative nausea and vomiting following ambulatory surgery: A retrospective case-control study Heliyon Postoperative nausea and vomiting Ambulatory surgery Postoperative pain |
| title | Risk factors of postoperative nausea and vomiting following ambulatory surgery: A retrospective case-control study |
| title_full | Risk factors of postoperative nausea and vomiting following ambulatory surgery: A retrospective case-control study |
| title_fullStr | Risk factors of postoperative nausea and vomiting following ambulatory surgery: A retrospective case-control study |
| title_full_unstemmed | Risk factors of postoperative nausea and vomiting following ambulatory surgery: A retrospective case-control study |
| title_short | Risk factors of postoperative nausea and vomiting following ambulatory surgery: A retrospective case-control study |
| title_sort | risk factors of postoperative nausea and vomiting following ambulatory surgery a retrospective case control study |
| topic | Postoperative nausea and vomiting Ambulatory surgery Postoperative pain |
| url | http://www.sciencedirect.com/science/article/pii/S2405844022037185 |
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