Retrospective analysis of the incidence and predictors of postoperative nausea and vomiting after orthopedic surgery under spinal anesthesia / 대한마취과학회지
Korean Journal of Anesthesiology
; : 99-106, 2023.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-967978
Responsible library:
WPRO
ABSTRACT
Background@#Postoperative nausea and vomiting (PONV) commonly occurs after spinal anesthesia; however, its incidence rate and predictors have been scarcely studied. Therefore, we aimed to investigate its incidence rate and potential predictors. @*Methods@#The electronic medical records of 6,610 consecutive patients undergoing orthopedic surgery under spinal anesthesia were reviewed between January 2016 and December 2020. The primary outcome was PONV incidence within 24 h after spinal anesthesia. Along with its incidence rate, we investigated its predictors using multivariable logistic regression analysis. @*Results@#Among the 5,691 patients included in the analysis, 1,298 (22.8%) experienced PONV within 24 h after spinal anesthesia. Female sex (odds ratio [OR] 3.23, 95% CI [2.72, 3.83], P < 0.001), nonsmoker (OR 2.12, 95% CI [1.46, 3.07], P < 0.001), history of PONV (OR 1.52, 95% CI [1.26, 1.82], P < 0.001), prophylactic 5-hydroxytryptamine receptor antagonist use (OR 0.35, 95% CI [0.24, 0.50], P < 0.001), prophylactic steroid use (OR 0.53, 95% CI [0.44, 0.62], P < 0.001), baseline heart rate ≥ 60 beats/min (OR 1.38, 95% CI [1.10, 1.72], P = 0.005), and postoperative opioid use (OR 2.57, 95% CI [1.80, 3.67], P < 0.001), were significant predictors of the primary outcome. @*Conclusions@#Our study showed the common incidence of PONV after spinal anesthesia and its significant predictors. A better understanding of its predictors may provide important information for its management.
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 6: Information systems for health
Database:
WPRIM (Western Pacific)
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2023
Document type:
Article