Factors Associated with Postoperative Nausea and Vomiting in Patients Undergoing an Ambulatory Hand Surgery
DC Field | Value | Language |
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dc.contributor.author | Young Hak, R. | - |
dc.contributor.author | Hyun Sik, G. | - |
dc.contributor.author | Jeong Hwan, K. | - |
dc.contributor.author | Kyung Pyo, N. | - |
dc.contributor.author | Young Ho, L. | - |
dc.contributor.author | Goo Hyun, B. | - |
dc.date.available | 2020-02-28T18:45:36Z | - |
dc.date.created | 2020-02-12 | - |
dc.date.issued | 2014-09 | - |
dc.identifier.issn | 2005-291X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/13049 | - |
dc.description.abstract | Background: Patients undergoing ambulatory surgery under general anesthesia experience considerable levels of postoperative nausea and vomiting (N/V) after their discharge. However, those complications have not been thoroughly investigated in hand surgery patients yet. We investigated factors associated with postoperative N/V in patients undergoing an ambulatory hand surgery under general anesthesia and determined whether patients' satisfaction with this setting is associated with postoperative N/V levels. Methods: We prospectively evaluated 200 consecutive patients who underwent ambulatory hand surgeries under general anesthesia to assess their postoperative N/V visual analogue scale (VAS) levels during the first 24 hours after surgery and their satisfaction with an ambulatory surgery setting. Potential predictors of postoperative N/V were; age, sex, body mass index, smoking behavior, a history of postoperative N/V after previous anesthesia or motion sickness, preoperative anxiety level and the duration time of anesthesia. We conducted multivariate analyses to identify factors associated with postoperative N/V levels. We also conducted multivariate logistic regression analyses to determine whether the N/V levels are associated with the patients' satisfaction with this setting. Here, potential predictors for satisfaction were sex, age, postoperative pain and N/V. Results: Postoperative N/V were associated with a non-smoking history, a history of motion sickness and a high level of preoperative anxiety. Twenty-two patients (11%) were dissatisfied with the ambulatory setting and this dissatisfaction was independently associated with moderate (VAS 4-7) and high (VAS 8-10) levels of postoperative N/V and with a high level (VAS 8-10) of postoperative pain. Conclusions: Although most of the patients were satisfied with the ambulatory surgery setting, moderate to high levels of N/V were associated with dissatisfaction of patients with this setting, suggesting a need for better identifying and managing those patients at risk. The information regarding risk factors for N/V could help in preoperative patient consultation regarding an ambulatory hand surgery under general anesthesia. © 2014, by The Korean Orthopaedic Association. All rights reserved. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Korean Orthopaedic Association | - |
dc.relation.isPartOf | Clinics in Orthopedic Surgery | - |
dc.title | Factors Associated with Postoperative Nausea and Vomiting in Patients Undergoing an Ambulatory Hand Surgery | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.doi | 10.4055/cios.2014.6.3.273 | - |
dc.identifier.bibliographicCitation | Clinics in Orthopedic Surgery, v.6, no.3, pp.258 - 266 | - |
dc.identifier.kciid | ART001902901 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-84923920327 | - |
dc.citation.endPage | 266 | - |
dc.citation.startPage | 258 | - |
dc.citation.title | Clinics in Orthopedic Surgery | - |
dc.citation.volume | 6 | - |
dc.citation.number | 3 | - |
dc.contributor.affiliatedAuthor | Young Hak, R. | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Ambulatory hand surgery | - |
dc.subject.keywordAuthor | Nausea | - |
dc.subject.keywordAuthor | Satisfaction | - |
dc.subject.keywordAuthor | Vomiting | - |
dc.subject.keywordPlus | adolescent | - |
dc.subject.keywordPlus | adult | - |
dc.subject.keywordPlus | aged | - |
dc.subject.keywordPlus | ambulatory surgery | - |
dc.subject.keywordPlus | anxiety | - |
dc.subject.keywordPlus | Article | - |
dc.subject.keywordPlus | disease association | - |
dc.subject.keywordPlus | female | - |
dc.subject.keywordPlus | general anesthesia | - |
dc.subject.keywordPlus | hand surgery | - |
dc.subject.keywordPlus | human | - |
dc.subject.keywordPlus | major clinical study | - |
dc.subject.keywordPlus | male | - |
dc.subject.keywordPlus | motion sickness | - |
dc.subject.keywordPlus | patient satisfaction | - |
dc.subject.keywordPlus | postoperative nausea and vomiting | - |
dc.subject.keywordPlus | postoperative pain | - |
dc.subject.keywordPlus | risk assessment | - |
dc.subject.keywordPlus | risk factor | - |
dc.subject.keywordPlus | smoking | - |
dc.subject.keywordPlus | visual analog scale | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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