A clinical risk analysis of postoperative nausea and vomiting after colorectal cancer surgery
J. coloproctol. (Rio J., Impr.)
;
42(3): 203-209, July-Sept. 2022. tab
Article
in English
| LILACS
| ID: biblio-1421977
ABSTRACT
Objective:
Postoperative nausea and vomiting (PONV) is a frequent complication following colorectal surgery. The present study investigated the risk factors for PONV after colorectal cancer surgery.Methods:
A retrospective study of 204 patients who underwent surgery for colorectal cancer was conducted. Univariate and multivariate analyses were performed to determine the clinicopathological factors associated with PONV.Results:
The overall incidence of postoperative nausea (PON) and postoperative vomit (POV) was 26.5% (54/204), and 12.3% (25/204), respectively. The univariate analysis showed that female gender (p < 0.001), no current alcohol drinking habit (p = 0.003), and no stoma creation (p = 0.023) were associated with PON. Postoperative vomit was significantly correlated with female gender (p = 0.009), high body mass index (p = 0.017), and right-sided colon cancer (p = 0.001). The multivariate logistic regression analysis revealed that female gender (odds ratio [OR] 4.225; 95% confidence interval [CI] 2.170-8.226; p < 0.001) was an independent risk factor for PON. A high body mass index (OR 1.148; 95%CI 1.018-1.295; p = 0.025), and right-sided colon cancer (OR 3.337; 95%CI 1.287-8.652; p = 0.013) were independent risk factors for POV.Conclusion:
Our findings suggest that female gender for PON and a high body mass index and right-sided colon cancer for POV are risk factors after colorectal cancer surgery. An assessment using these factors might be helpful for predicting PONV. (AU)
Full text:
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Index:
LILACS (Americas)
Main subject:
Rectum
/
Colon
/
Postoperative Nausea and Vomiting
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
J. coloproctol. (Rio J., Impr.)
Journal subject:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
Gastroenterology
/
Cirurgia
Year:
2022
Type:
Article
Affiliation country:
Japan
Institution/Affiliation country:
Saga Medical Center Koseikan/JP
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