Applicability of risk scores for postoperative nausea and vomiting in adults to paediatric patients

British Journal of Anaesthesia
L H J EberhartG Geldner

Abstract

Scores to predict the occurrence of postoperative vomiting (PV) or nausea and vomiting (PONV) are well established in adult patients. The aim of this survey was to evaluate the applicability of risk scores developed and tested in adult patients in 983 paediatric patients (0-12 yr) undergoing various surgical procedures. The predictive properties of five models were compared with respect to discriminating power (measured by the area under a receiver operating characteristic curve) and calibration (comparison of the predicted and the actual incidences of the disease by weighed linear regression analysis). The cumulative incidence of PV was 33.2% within 24 h. The discriminating power was low and insufficient in all models tested (0.56-0.65). Furthermore, the predicted incidences of the scores correlated only vaguely with the actual incidences observed. Specialized scores for children are required. These might use the history of PV, strabismus surgery, duration of anaesthesia > or =45 min, age > or =5 yr and administration of postoperative opioids as independent risk factors.

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Citations

May 24, 2007·Der Anaesthesist·M R Tramèr
May 21, 2009·British Journal of Anaesthesia·P DiemunschJ-F Brichant
Mar 4, 2014·Journal of Obstetrics and Gynaecology of India·Ashraf AleyasinMohammadreza Javadi
Jul 15, 2005·Best Practice & Research. Clinical Anaesthesiology·Christian C ApfelPeter Lipfert
Mar 9, 2010·Journal of Clinical Anesthesia·Michael LehmannChristoph H Kindler
Apr 3, 2016·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Christopher A Smith, Lisa Ruth-Sahd
Oct 23, 2008·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Susan M NeufeldJane E Drummond
May 25, 2007·Annales Françaises D'anesthèsie Et De Rèanimation·M-R Tramèr
Dec 23, 2006·Paediatric Anaesthesia·Mark ThomasRichard Howard
Sep 25, 2012·Paediatric Anaesthesia·Betina S B BassaneziArtur Udelsmann
May 9, 2014·Paediatric Anaesthesia·Thanaporn Jitpakdee, Sahatsa Mandee
Aug 29, 2006·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·UNKNOWN American Society of PeriAnesthesia Nurses PONV/PDNV Strategic Work Team
Apr 19, 2018·Pediatric Research·Lauren E KellyMartin Offringa
May 24, 2006·Anesthesia and Analgesia·Tong J Gan
Mar 29, 2008·Palliative Medicine·Paul Perkins, Sarah L Vowler
Apr 12, 2014·Current Opinion in Anaesthesiology·Claudia Höhne
Oct 28, 2020·Paediatric Drugs·Anthony L Kovac
Jul 31, 2021·Anesthesiology·Steven J Staffa, David Zurakowski

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