The effect of Apfel risk score and fasting times on postoperative nausea and vomiting

Şişman, Hamide; Arslan, Sevban; Gezer, Derya; Akpolat, Refiye; Alptekin, Dudu; Gökçe, Esma

doi:10.1016/j.pcorm.2022.100283

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…Direct statements describe negative emotions, and reverse statements describe positive emotions. Items 1,2,5,8,10,11,15,16,19,and 20 are reverse items for STAI-S, and items 21,26,27,30,33,36 and 39 for STAI-T. A constant of 50 is added to the total score to calculate the STAI-S score, and 35 for STAI-T. The total score obtained from both scales ranges from 20 to 80.…”

Section: State-trait Anxiety Inventorymentioning

confidence: 99%

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The Effect of Preoperative State-Trait Anxiety Level and Anesthesia Technique on Postoperative Nausea and Vomiting

Soyer Er,

Erkan

2024

JARSS

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Objective: It was aimed to determine the effect of preoperative anxiety levels and anesthesia of the patients on postoperative nausea and vomiting (PONV). Methods: This study was a cross sectional research. It was conducted with 323 patients at a state hospital between April-June 2022. Data were collected with Sociodemographic and Clinical Characteristics Form, State-Trait Anxiety Inventory (STAI), and Rhodes Index of Nausea, Vomiting, and Retching. Descriptive statistics were applied to analyze the data. Results: The mean age of the patients were 50.5 ± 17.3 years, and 18.9% of them were treated in the general surgery ward. There was a significant difference in the development of PONV in the Trait Anxiety Inventory (STAI-T) severe anxiety group compared to the mild anxiety group (p=0.031) and in the State Anxiety Inventory (STAI-S) moderate anxiety group compared to the mild anxiety group (p=0.012). When anesthetic type was included in the model, there was a significant difference in the development of PONV between the STAI-S moderate and mild anxiety groups (p=0.006). State Anxiety Inventory scores were found to be effective in the group that received general and spinal anesthesia (p=0.013). Postoperative nausea and vomiting development was 41.2% in the moderate anxiety group and 21.7% in the mild anxiety group in the general and spinal anesthesia group. Conclusion: It was determined that undergoing general or spinal anesthesia increases the risk of developing PONV as the STAI-S score increases. Keywords: Surgery, anxiety, nausea, vomiting

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Section: State-trait Anxiety Inventorymentioning

confidence: 99%

“…Nausea is defined as a feeling of discomfort in the stomach, and vomiting is defined as the expulsion of stomach contents. Postoperative nausea and vomiting carry a risk of serious complications such as wound dehiscence, aspiration, pneumonia, fluid electrolyte imbalance, and increased intracranial pressure (9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Preoperative State-Trait Anxiety Level and Anesthesia Technique on Postoperative Nausea and Vomiting

Soyer Er,

Erkan

2024

JARSS

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Comparison of predictive models in postoperative nausea and vomiting in patients undergoing breast cancer surgery

Maraş,

Kalaycı,

Ceyhan

2024

Support Care Cancer

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Background Post-operative nausea and vomiting remain an unresolved concern in Türkiye and some parts of the world, impacting the quality of the patient's recovery process and diminishing overall satisfaction. Objective This study was conducted as a descriptive investigation to compare the incidence of nausea and vomiting following breast cancer surgery with the nausea and vomiting risk scores proposed by Apfel and Koivuranta. Methods This study was conducted with 100 patients admitted to the General Surgery service of a university hospital between 31 August 2019 and 31 May 2021 for breast cancer surgery. The patient information form developed by the researchers, Apfel Nausea and Vomiting Risk Score, and Koivuranta Nausea and Vomiting Risk Score were used as data collection tools. Results It was identified that 61% of the patients experienced nausea and vomiting within the initial 24 h following surgery. A significant correlation was found between age, post-operative opioid use, motion sickness or history of PONV, and nausea and vomiting (p < 0,05). The sensitivity of the Apfel score obtained was 80%, the specificity was 46%, and the AUC value was 0.686. The sensitivity of the Koivuranta score was 80%, the specificity was 35%, and the AUC value was 0.675 (p < 0.05). Conclusion It has been observed that patients experience high rates of nausea and vomiting after breast cancer surgery and that the Apfel and Koivuranta Risk Scores are equally applicable in predicting post-operative nausea and vomiting.

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Enhancing Compliance With Preoperative Fasting Guidelines: A Closed-Loop Quality Improvement Initiative to Optimize Patient Safety and Outcomes

Sidik,

Faybushevich,

Hossain

et al. 2024

Cureus

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The effect of Apfel risk score and fasting times on postoperative nausea and vomiting

Cited by 3 publications

References 23 publications

The Effect of Preoperative State-Trait Anxiety Level and Anesthesia Technique on Postoperative Nausea and Vomiting

The Effect of Preoperative State-Trait Anxiety Level and Anesthesia Technique on Postoperative Nausea and Vomiting

Comparison of predictive models in postoperative nausea and vomiting in patients undergoing breast cancer surgery

Enhancing Compliance With Preoperative Fasting Guidelines: A Closed-Loop Quality Improvement Initiative to Optimize Patient Safety and Outcomes

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