The postoperative interview: assessing risk factors for nausea and vomiting.

摘要: Most studies of postoperative nausea and vomiting have concentrated on single etiologic factors not detailed the method assessing these symptoms. This study used interview data from patients at four teaching hospitals during 1988-89, to determine 1) risk for nausea/vomiting, 2) whether type surgery affected rate nausea/vomiting among female patients, 3) differences in rates across were due patient case-mix, 4) there individual anesthesiologists. Research nurses performed 16,000 interviews (59% all inpatients) a closed-question standardized format. With multiple logistic regression that controlled simultaneously factors, associated with increased included younger age, female, lower physical status score, no preoperative medical conditions, nonsmokers, elective procedures, longer duration anesthesia, inhaled anesthetics, use intraoperative opioids, gynecologic or ophthalmologic operations. Among women, similar, minor (relative odds = 2.30). We found marked variations (range, 39% 73%), explained by case-mix patients. The varied substantially anesthesiologists each hospital they managed. Thus time period immediately preceding introduction newer antiemetic drugs, we this common problem persistently high as perceived patients' point view.