1. Factors Affecting Postoperative Nausea and Vomiting in Surgical Patients
- Author
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Jaesoon Son and Haesang Yoon
- Subjects
Male ,medicine.medical_specialty ,Anesthesia, General ,Logistic regression ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,030202 anesthesiology ,medicine ,Humans ,Prospective Studies ,030212 general & internal medicine ,Risk factor ,Elective surgery ,business.industry ,Incidence (epidemiology) ,Middle Aged ,medicine.disease ,Surgery ,Medical–Surgical Nursing ,Motion sickness ,Surgical Procedures, Operative ,Anesthesia ,Postoperative Nausea and Vomiting ,Female ,Prospective research ,medicine.symptom ,business ,Postoperative nausea and vomiting ,Surgical patients - Abstract
Purpose This study was to identify factors affecting postoperative nausea and vomiting (PONV) and to investigate the incidence of PONV for the first 24 hours after operation. Design The prospective research was performed in an 1,100-bed university hospital, from April to December, 2011. The sample consisted of 609 patients with elective surgery. Methods Factors affecting PONV were identified by multiple logistic regression. Findings Incidence of PONV was 27.1% for the first postoperative 24 hours. Insertion of nasogastric tube (OR, 4.54, P = .002), history of PONV (OR, 3.24, P P = .002), history of motion sickness (OR, 2.33, P P = .004) were high risk factors of PONV. The nonadministration of antiemetics during operation (OR, 1.70, P = .014) and nonuse of intravenous patient-controlled analgesia (OR, 1.54, P = .038) increased PONV during the first postoperative 24 hours. Conclusions Patients of female gender, history of motion sickness and PONV, general anesthesia, and nasogastric insertion are more likely to experience PONV.
- Published
- 2018