PDF(Pubmed)
Abstract：
UNASSIGNED: Postoperative nausea and vomiting (PONV) is a common complication following surgery. Only a few risk factors have consistently been reported to be independent predictors for PONV.
UNASSIGNED: To report Apfel scores for orthopedic patients then correlate these scores to the number of antiemetics prescribed and subsequently administered in both the perioperative and post operative setting and determine if screening for Apfel scores is beneficial to predict PONV.
UNASSIGNED: A retrospective analysis of patients admitted under orthopedic units between 1st July 2020 and 31st July 2020 was conducted at a tertiary teaching hospital in Australia. Patients were screened and allocated an Apfel score and antiemetics agents prescribed and subsequently administered were recorded.
UNASSIGNED: A total of 115 patients were screened for inclusion. Of these 4 patients met this exclusion criteria, resulting in a total sample size of 111 patients. An Apfel score of 2 was reported in 45.0% of patients, followed by 28.8% of patients scoring 3, with 12.6% scoring one. Only 5.4% of patients scored the highest risk of 4, with 8.2% of patients with no Apfel score documented.
UNASSIGNED: Orthopedic patients tend to score 2 or more in their Apfel score placing them at higher risk of postoperative nausea and/or vomiting according to the collectively validated Apfel\'s simplified risk score. There was no statistically significant relationship between the Apfel score and the number of antiemetic agents prescribed or administered from both the perioperative and post-operative setting following orthopedic surgery in this cohort of adult patients.
UNASSIGNED: To report Apfel scores for orthopedic patients then correlate these scores to the number of antiemetics prescribed and subsequently administered in both the perioperative and post operative setting and determine if screening for Apfel scores is beneficial to predict PONV.
UNASSIGNED: A retrospective analysis of patients admitted under orthopedic units between 1st July 2020 and 31st July 2020 was conducted at a tertiary teaching hospital in Australia. Patients were screened and allocated an Apfel score and antiemetics agents prescribed and subsequently administered were recorded.
UNASSIGNED: A total of 115 patients were screened for inclusion. Of these 4 patients met this exclusion criteria, resulting in a total sample size of 111 patients. An Apfel score of 2 was reported in 45.0% of patients, followed by 28.8% of patients scoring 3, with 12.6% scoring one. Only 5.4% of patients scored the highest risk of 4, with 8.2% of patients with no Apfel score documented.
UNASSIGNED: Orthopedic patients tend to score 2 or more in their Apfel score placing them at higher risk of postoperative nausea and/or vomiting according to the collectively validated Apfel\'s simplified risk score. There was no statistically significant relationship between the Apfel score and the number of antiemetic agents prescribed or administered from both the perioperative and post-operative setting following orthopedic surgery in this cohort of adult patients.
摘要：
■术后恶心和呕吐（PONV）是手术后常见的并发症。据报道，只有少数危险因素是PONV的独立预测因素。
■为了报告骨科患者的Apfel评分，然后将这些评分与围手术期和术后两种情况下处方和随后给药的止吐药数量相关联，并确定Apfel评分筛查是否有利于预测PONV。
对2020年7月1日至2020年7月31日在澳大利亚一家三级教学医院接受骨科治疗的患者进行了回顾性分析。对患者进行筛选并分配Apfel评分，并记录处方和随后给药的止吐药。
■共筛选115例患者纳入。在这4名患者中，符合此排除标准，导致总样本量为111名患者。在45.0%的患者中,Apfel评分为2分,其次是28.8%的患者评分为3分，12.6%的患者评分为1分。只有5.4%的患者得分最高，为4分，8.2%的患者没有Apfel评分。
根据集体验证的Apfel简化风险评分，骨科患者的Apfel评分往往为2分或更多，使其术后恶心和/或呕吐的风险更高。在该成年患者队列中，Apfel评分与骨科手术后的围手术期和术后处方或使用的止吐剂数量之间没有统计学上的显着关系。
■为了报告骨科患者的Apfel评分，然后将这些评分与围手术期和术后两种情况下处方和随后给药的止吐药数量相关联，并确定Apfel评分筛查是否有利于预测PONV。
对2020年7月1日至2020年7月31日在澳大利亚一家三级教学医院接受骨科治疗的患者进行了回顾性分析。对患者进行筛选并分配Apfel评分，并记录处方和随后给药的止吐药。
■共筛选115例患者纳入。在这4名患者中，符合此排除标准，导致总样本量为111名患者。在45.0%的患者中,Apfel评分为2分,其次是28.8%的患者评分为3分，12.6%的患者评分为1分。只有5.4%的患者得分最高，为4分，8.2%的患者没有Apfel评分。
根据集体验证的Apfel简化风险评分，骨科患者的Apfel评分往往为2分或更多，使其术后恶心和/或呕吐的风险更高。在该成年患者队列中，Apfel评分与骨科手术后的围手术期和术后处方或使用的止吐剂数量之间没有统计学上的显着关系。
