Systematic review on the recurrence of postoperative nausea and vomiting after a first episode in the recovery room – implications for the treatment of PONV and related clinical trials
2006

Recurrence of Nausea and Vomiting After Surgery

Sample size: 3608 publication 10 minutes Evidence: moderate

Author Information

Author(s): Eberhart Leopold HJ, Frank Silke, Lange Henning, Morin Astrid M, Scherag André, Wulf Hinnerk, Kranke Peter

Primary Institution: Philipps-University Marburg, Germany

Hypothesis

What is the incidence of recurrent postoperative nausea and vomiting after receiving placebo treatment?

Conclusion

The study found a high rate of recurrence of emetic symptoms after placebo, indicating a need for effective antiemetic treatment.

Supporting Evidence

  • The recurrence rate of PONV was found to be between 65% and 84% after placebo treatment.
  • The study included data from 29 trials.
  • The findings highlight the need for effective antiemetic treatment in postoperative care.
  • The study provides empirical estimates for future clinical trials.
  • A total of 3608 patients were observed in the two unpublished trials.

Takeaway

After surgery, many patients feel sick again even if they don't get any medicine to help. This study shows that a lot of them will feel sick again after a while.

Methodology

A systematic review and meta-analysis of trials assessing the recurrence of postoperative nausea and vomiting after placebo treatment.

Potential Biases

Potential bias due to the reliance on placebo-controlled trials and the ethical concerns surrounding them.

Limitations

The study relies on existing literature, which may have variability in reporting and methodology.

Participant Demographics

Adult patients undergoing various surgical procedures.

Statistical Information

P-Value

p<0.05

Confidence Interval

95%-CI: 73%...91%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2253-6-14

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