Applicability of risk scores for postoperative nausea and vomiting in adults to paediatric patients |
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| Authors: | Eberhart L H J Morin A M Guber D Kretz F J Schäuffelen A Treiber H Wulf H Geldner G |
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| Institution: | 1 Department of Anaesthesiology and Intensive Care Medicine, Philipps University, Marburg, 2 Olga-Hospital, Children's Hospital Stuttgart and 3 Ambulatory Surgical Centre Söflingen, Ulm, Germany |
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| Abstract: | Background. Scores to predict the occurrence of postoperativevomiting (PV) or nausea and vomiting (PONV) are well establishedin adult patients. The aim of this survey was to evaluate theapplicability of risk scores developed and tested in adult patientsin 983 paediatric patients (0–12 yr) undergoing varioussurgical procedures. Method. The predictive properties of five models were comparedwith respect to discriminating power (measured by the area undera receiver operating characteristic curve) and calibration (comparisonof the predicted and the actual incidences of the disease byweighed linear regression analysis). Results. The cumulative incidence of PV was 33.2% within 24h. The discriminating power was low and insufficient in allmodels tested (0.56–0.65). Furthermore, the predictedincidences of the scores correlated only vaguely with the actualincidences observed. Conclusion. Specialized scores for children are required. Thesemight use the history of PV, strabismus surgery, duration ofanaesthesia |
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| Keywords: | anaesthesia paediatric model mathematical vomiting and nausea incidence vomiting and nausea patient factors vomiting and nausea surgical factors vomiting patient factors |
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