A significant portion of patients undergoing ambulatory surgery suffer post-discharge nausea and vomiting, according to US researchers who have developed a simplified risk score to identify at-risk patients, according to a News-Medical report.
Post-operate nausea and vomiting occurs in approximately one in four patients and can have serious consequences. Although risk scores have been developed to manage this outcome in hospitalized patients, no risk score currently exists for PDNV in ambulatory surgical patients.
Christian Apfel, from the University of California in San Francisco, and fellow researchers gathered data on 2,170 adults who underwent general anesthesia for ambulatory surgery between 2007 and 2008 and in whom PDNV was assessed from discharge until the second postoperative day. Overall incidence of PDNV was 37 percent, with 36.6 percent of patients experiencing nausea, 11.9 percent vomiting, 37.1 nausea and/or vomiting, 13.3 percent severe nausea and 5 percent severe vomiting.
Statistically significant independent predictors of PDNV were: female gender, age under 40, history of postoperative nausea or vomiting, opioids in the PACU or nausea in the PACU.
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Post-operate nausea and vomiting occurs in approximately one in four patients and can have serious consequences. Although risk scores have been developed to manage this outcome in hospitalized patients, no risk score currently exists for PDNV in ambulatory surgical patients.
Christian Apfel, from the University of California in San Francisco, and fellow researchers gathered data on 2,170 adults who underwent general anesthesia for ambulatory surgery between 2007 and 2008 and in whom PDNV was assessed from discharge until the second postoperative day. Overall incidence of PDNV was 37 percent, with 36.6 percent of patients experiencing nausea, 11.9 percent vomiting, 37.1 nausea and/or vomiting, 13.3 percent severe nausea and 5 percent severe vomiting.
Statistically significant independent predictors of PDNV were: female gender, age under 40, history of postoperative nausea or vomiting, opioids in the PACU or nausea in the PACU.
Related Articles on ASC Quality:
New Massachusetts Law Calls for Public Reporting of Quality Information
ACP Laws May Pose as Roadblocks to Better Care
3 Roadblocks to Effective Quality Measure Management
