A prospective interview-based survey on the incidence of postoperative nausea and vomiting in 1107 in-patients aged 4-86 years was conducted during a 3-month period.
Nausea, emetic episodes and the need for anti-emetic medication were recorded for 24 h postoperatively.
In the recovery room, the incidence of nausea and vomiting was 18% and 5%, respectively.
Over the whole 24-h period, these figures were 52% and 25%, respectively ; severe nausea was experienced by 8%. The highest incidence of emetic sequelae was observed in gynaecological patients ; 52% of the 822 patients who received general anaesthesia and 38% of the 285 patients who received regional anaesthesia reported nausea.
The most important predictive factors associated with an increased risk for nausea and vomiting were female gender, a previous history of postoperative sickness, a longer duration of surgery, nonsmoking and a history of motion sickness.
Based on these five items, a simple score predicting the risk of nausea and vomiting was constructed with a moderately good discriminating power.
Mots-clés Pascal : Nausée, Vomissement, Postopératoire, Epidémiologie, Homme, Complication, Chirurgie, Anesthésie générale, Prédiction, Facteur risque, Appareil digestif pathologie
Mots-clés Pascal anglais : Nausea, Vomiting, Postoperative, Epidemiology, Human, Complication, Surgery, General anesthesia, Prediction, Risk factor, Digestive diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0308064
Code Inist : 002B27A02. Création : 15/07/1997.