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Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from Palestine
BACKGROUND: Postoperative nausea and vomiting (PONV) and postoperative pain (POP) are most commonly experienced in the early hours after surgery. Many studies have reported high rates of PONV and POP, and have identified factors that could predict the development of these complications. This study a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8017875/ https://www.ncbi.nlm.nih.gov/pubmed/33794852 http://dx.doi.org/10.1186/s12893-021-01172-9 |
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author | Elsaid, Reem M. Namrouti, Ashraqat S. Samara, Ahmad M. Sadaqa, Wael Zyoud, Sa’ed H. |
author_facet | Elsaid, Reem M. Namrouti, Ashraqat S. Samara, Ahmad M. Sadaqa, Wael Zyoud, Sa’ed H. |
author_sort | Elsaid, Reem M. |
collection | PubMed |
description | BACKGROUND: Postoperative nausea and vomiting (PONV) and postoperative pain (POP) are most commonly experienced in the early hours after surgery. Many studies have reported high rates of PONV and POP, and have identified factors that could predict the development of these complications. This study aimed to evaluate the relationship between PONV and POP, and to identify some factors associated with these symptoms. METHODS: This was a prospective, multicentre, observational study performed at An-Najah National University Hospital and Rafidia Governmental Hospital, the major surgical hospitals in northern Palestine, from October 2019 to February 2020. A data collection form, adapted from multiple previous studies, was used to evaluate factors associated with PONV and POP in patients undergoing elective surgery. Patients were interviewed during the first 24 h following surgery. Multiple binary logistic regression was applied to determine factors that were significantly associated with the occurrence of PONV. RESULTS: Of the 211 patients included, nausea occurred in 43.1%, vomiting in 17.5%, and PONV in 45.5%. Multiple binary logistic regression analysis, using PONV as a dependent variable, showed that only patients with a history of PONV [odds ratio (OR) = 2.28; 95% confidence interval (CI) = 1.03–5.01; p = 0.041] and POP (OR = 2.41; 95% CI = 1.17–4.97; p = 0.018) were significantly associated with the occurrence of PONV. Most participants (74.4%) reported experiencing pain at some point during the first 24 h following surgery. Additionally, the type and duration of surgery were significantly associated with POP (p-values were 0.002 and 0.006, respectively). CONCLUSIONS: PONV and POP are common complications in our surgical patients. Factors associated with PONV include a prior history of PONV and POP. Patients at risk should be identified, the proper formulation of PONV protocols should be considered, and appropriate management plans should be implemented to improve patients’ outcomes. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12893-021-01172-9. |
format | Online Article Text |
id | pubmed-8017875 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80178752021-04-05 Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from Palestine Elsaid, Reem M. Namrouti, Ashraqat S. Samara, Ahmad M. Sadaqa, Wael Zyoud, Sa’ed H. BMC Surg Research Article BACKGROUND: Postoperative nausea and vomiting (PONV) and postoperative pain (POP) are most commonly experienced in the early hours after surgery. Many studies have reported high rates of PONV and POP, and have identified factors that could predict the development of these complications. This study aimed to evaluate the relationship between PONV and POP, and to identify some factors associated with these symptoms. METHODS: This was a prospective, multicentre, observational study performed at An-Najah National University Hospital and Rafidia Governmental Hospital, the major surgical hospitals in northern Palestine, from October 2019 to February 2020. A data collection form, adapted from multiple previous studies, was used to evaluate factors associated with PONV and POP in patients undergoing elective surgery. Patients were interviewed during the first 24 h following surgery. Multiple binary logistic regression was applied to determine factors that were significantly associated with the occurrence of PONV. RESULTS: Of the 211 patients included, nausea occurred in 43.1%, vomiting in 17.5%, and PONV in 45.5%. Multiple binary logistic regression analysis, using PONV as a dependent variable, showed that only patients with a history of PONV [odds ratio (OR) = 2.28; 95% confidence interval (CI) = 1.03–5.01; p = 0.041] and POP (OR = 2.41; 95% CI = 1.17–4.97; p = 0.018) were significantly associated with the occurrence of PONV. Most participants (74.4%) reported experiencing pain at some point during the first 24 h following surgery. Additionally, the type and duration of surgery were significantly associated with POP (p-values were 0.002 and 0.006, respectively). CONCLUSIONS: PONV and POP are common complications in our surgical patients. Factors associated with PONV include a prior history of PONV and POP. Patients at risk should be identified, the proper formulation of PONV protocols should be considered, and appropriate management plans should be implemented to improve patients’ outcomes. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12893-021-01172-9. BioMed Central 2021-04-01 /pmc/articles/PMC8017875/ /pubmed/33794852 http://dx.doi.org/10.1186/s12893-021-01172-9 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Elsaid, Reem M. Namrouti, Ashraqat S. Samara, Ahmad M. Sadaqa, Wael Zyoud, Sa’ed H. Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from Palestine |
title | Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from Palestine |
title_full | Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from Palestine |
title_fullStr | Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from Palestine |
title_full_unstemmed | Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from Palestine |
title_short | Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from Palestine |
title_sort | assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from palestine |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8017875/ https://www.ncbi.nlm.nih.gov/pubmed/33794852 http://dx.doi.org/10.1186/s12893-021-01172-9 |
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