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
Artigo
em Inglês
| LILACS
| ID: biblio-1421977
Biblioteca responsável:
BR545.3
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)
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Reto
/
Colo
/
Náusea e Vômito Pós-Operatórios
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
J. coloproctol. (Rio J., Impr.)
Assunto da revista:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
Gastroenterologia
/
Cirurgia
Ano de publicação:
2022
Tipo de documento:
Artigo
País de afiliação:
Japão
Instituição/País de afiliação:
Saga Medical Center Koseikan/JP