A Study of Three Different Scoring Systems for Prediction of Postoperative Nausea Vomiting
Creators
- 1. Associate Professor, Department of Anaesthesiology, Smt. Kashibai Navale Medical College and General Hospital, Pune
- 2. PG Resident (JR3), Smt. Kashibai Navale Medical College and General Hospital, Pune
Description
Introduction: Post-operative nausea and vomiting (PONV) is one of common side effect that occurs after the surgery. Although it is not fatal, there are several physiological changes which lead to uncomforted for the patients. For the avoidance, prophylactic anti-emetic management is provided empirically to all patients who are receiving aneasthesia but there is a need to assess patients before the surgery as all patients are not prone to PONV. For this purpose, there are various scoring systems of PONV and this study has considered Apfel, Koivuranta and Ulleval scoring system for its effective evaluation. Aims and Objectives: To statistically compare the efficacy of PONV scoring systems to predict risk of PONV in patients undergoing surgery. Materials and Methods: Total 200 number of patients enrolled in study which were posted for different type of surgeries. All patients were assessed for risk factors of all three mentioned scoring systems in pre-anaesthetic checkup. The scores obtained by the scoring systems were statistically analyzed. Result: Although all the scoring systems are effective in prediction of PONV, the study found that percentage of prediction of Ullveal scoring system is higher (80%) compare to other scoring systems but not only this sensitivity and specificity score of Ullveal scoring system is higher compare to other systems. Conclusion: The study has concluded that all the three scoring systems are effective to predict PONV but Ulleval scoring system is the most effective compared to other two scoring system for prediction of PONV.
Abstract (English)
Introduction: Post-operative nausea and vomiting (PONV) is one of common side effect that occurs after the surgery. Although it is not fatal, there are several physiological changes which lead to uncomforted for the patients. For the avoidance, prophylactic anti-emetic management is provided empirically to all patients who are receiving aneasthesia but there is a need to assess patients before the surgery as all patients are not prone to PONV. For this purpose, there are various scoring systems of PONV and this study has considered Apfel, Koivuranta and Ulleval scoring system for its effective evaluation. Aims and Objectives: To statistically compare the efficacy of PONV scoring systems to predict risk of PONV in patients undergoing surgery. Materials and Methods: Total 200 number of patients enrolled in study which were posted for different type of surgeries. All patients were assessed for risk factors of all three mentioned scoring systems in pre-anaesthetic checkup. The scores obtained by the scoring systems were statistically analyzed. Result: Although all the scoring systems are effective in prediction of PONV, the study found that percentage of prediction of Ullveal scoring system is higher (80%) compare to other scoring systems but not only this sensitivity and specificity score of Ullveal scoring system is higher compare to other systems. Conclusion: The study has concluded that all the three scoring systems are effective to predict PONV but Ulleval scoring system is the most effective compared to other two scoring system for prediction of PONV.
Files
IJPCR,Vol14,Issue7,Article38.pdf
Files
(255.9 kB)
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Additional details
Dates
- Accepted
-
2022-06-05
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue7,Article38.pdf
- Development Status
- Active
References
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