Predictors of Postoperative Nausea and Vomiting in Neurosurgical Patients

被引:6
|
作者
Hellickson, Jodi D. [3 ]
Worden, Wendy R. [3 ]
Ryan, Crystal [3 ]
Miers, Anne G. [3 ]
Benike, Deborah A. [3 ]
Frank, Sydney P. [4 ]
Rhudy, Lori M. [1 ,2 ]
机构
[1] Mayo Clin, Dept Nursing, Rochester, MN 55902 USA
[2] Univ Minnesota, Sch Nursing, Minneapolis, MN 55455 USA
[3] Mayo Clin, Dept Nursing, Rochester, MN USA
[4] Mayo Clin, Dept Nursing, Jacksonville, FL 32224 USA
关键词
craniotomy; lumbar; neurologic risk factors; postoperative complications; RISK-FACTORS; PREVENTION; CRANIOTOMY;
D O I
10.1097/JNN.0000000000000241
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In the neurosurgery patient population, one of the most frequent complications is postoperative nausea and vomiting (PONV). The purpose of this predictive correlational study was to examine the incidence and predictors of PONV in a cohort of 519 neurosurgery patients undergoing elective spinal and intracranial procedures. Patients were interviewed, and their medical records were reviewed every 24 hours for up to 72 hours postoperatively to identify risk factors for PONV development. After summarizing univariate associations, a multivariable logistic regression model for each outcome was developed using forward and backward stepwise selection, with the p value for a variable to enter or leave the model set to .05. Women, especially those who were younger and with a history of PONV, were most likely to have PONV. In addition, those undergoing craniotomy, particularly infratentorial craniotomy, were more likely to have PONV compared with patients undergoing spine surgery. This study provides a foundation for nursing and interdisciplinary intervention studies aimed at reducing this postoperative symptom in the most susceptible patients.
引用
收藏
页码:352 / 357
页数:6
相关论文
共 50 条
  • [1] Postoperative pain, nausea and vomiting in neurosurgical patients
    Leslie, Kate
    Williams, Daryl L.
    CURRENT OPINION IN ANESTHESIOLOGY, 2005, 18 (05) : 461 - 465
  • [2] Postoperative nausea and vomiting in neurosurgical patients: Current concepts and management
    Jangra, Kiran
    Kumari, Kamlesh
    Panda, N. Dhi B.
    Samagh, Navneh
    Luthra, Ankur
    NEUROLOGY INDIA, 2018, 66 (04) : 1117 - 1123
  • [3] Postoperative Nausea and Vomiting in Pediatric Patients
    Kovac, Anthony L.
    PEDIATRIC DRUGS, 2021, 23 (01) : 11 - 37
  • [4] Postoperative nausea and vomiting in adult patients
    Pierre, S
    Corno, G
    ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 2003, 22 (02): : 119 - 129
  • [5] Postoperative nausea and vomiting in paediatric patients
    Rose, JB
    Watcha, MF
    BRITISH JOURNAL OF ANAESTHESIA, 1999, 83 (01) : 104 - 117
  • [6] Postoperative nausea and vomiting in female patients
    Harmon, D
    Gardiner, J
    ANESTHESIA AND ANALGESIA, 2001, 93 (02): : 518 - 518
  • [7] Postoperative Nausea and Vomiting in Pediatric Patients
    Anthony L. Kovac
    Pediatric Drugs, 2021, 23 : 11 - 37
  • [8] Postoperative nausea and vomiting
    Williams, KS
    SURGICAL CLINICS OF NORTH AMERICA, 2005, 85 (06) : 1229 - +
  • [9] Postoperative nausea and vomiting
    Moon, Young Eun
    KOREAN JOURNAL OF ANESTHESIOLOGY, 2014, 67 (03) : 164 - 170
  • [10] Postoperative nausea and vomiting
    Tramer, M. R.
    ANAESTHESIST, 2007, 56 (07): : 679 - 685