Abstract
Background: Motion sickness (MS) may be a risk factor for postoperative vomiting (POV), but its independent predictive value in children is not known.
Methods: A convenience sample of 70 consecutive patients aged 1-16 years scheduled for elective surgery were questioned, a history of MS was sought and patients were observed for the subsequent development of POV.
Results: The overall incidence of POV was 29%. Fourteen children (20%) had a history of MS; MS-positive children were more likely to vomit than those who were MS-negative (P < 0.01). The type of surgery, use of opioids or prophylactic antiemetics did not differ significantly between the groups. The sensitivity of MS as a predictor of POV is 45% and the specificity 90%, giving a positive predictive value of 64.3% and a negative predictive value of 80.4%.
Conclusion: Motion sickness is associated with POV in this group of children, but its positive predictive value is fairly low.
| Original language | English |
|---|---|
| Pages (from-to) | 61-63 |
| Number of pages | 3 |
| Journal | Pediatric Anesthesia |
| Volume | 17 |
| Issue number | 1 |
| Early online date | 26 Jun 2006 |
| DOIs | |
| Publication status | Published - Jan 2007 |
Keywords
- pediatric
- motion sickness
- postoperative vomiting
- pediatric-patients
- prophylactic ondansetron
- unanticipated admission
- ambulatory surgery
- previous history
- nausea
- emesis
- metaanalysis
- granisetron