Evidence map›Paper›PMID 25050340›Full record

Trial reportBioMed research international2014

The effects of intravenous fosaprepitant and ondansetron for the prevention of postoperative nausea and vomiting in neurosurgery patients: a prospective, randomized, double-blinded study.

Yasuo M Tsutsumi, Nami Kakuta, Tomohiro Soga, Katsuyoshi Kume, Eisuke Hamaguchi, Rie Tsutsumi, Katsuya Tanaka

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Yasuo M TsutsumiDepartment of Anesthesiology, The University of Tokushima, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.
Nami KakutaDepartment of Anesthesiology, The University of Tokushima, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.ORCID 0000-0003-0453-1506
Tomohiro SogaDepartment of Anesthesiology, The University of Tokushima, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.
Katsuyoshi KumeDepartment of Anesthesiology, The University of Tokushima, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.ORCID 0000-0001-8622-1047
Eisuke HamaguchiDepartment of Anesthesiology, The University of Tokushima, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.
Rie TsutsumiDepartment of Nutrition, The University of Tokushima, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.ORCID 0000-0001-6362-5823
Katsuya TanakaDepartment of Anesthesiology, The University of Tokushima, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.
Tokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence of postoperative nausea and vomiting (PONV) is 30-50% after surgery. PONV occurs frequently, especially after craniotomy. In this study, we investigated the preventive effects on PONV in a randomized study by comparing patients who had been administered fosaprepitant, a neurokinin-1 (NK1) receptor antagonist, or ondansetron intravenously. Sixty-four patients undergoing craniotomy were randomly allocated to receive fosaprepitant 150 mg i.v. (NK1 group, n = 32) or ondansetron 4 mg i.v. (ONS group, n = 32) before anesthesia. The incidence of vomiting was significantly less in the NK1 group, where 2 of 32 (6%) patients experienced vomiting compared to 16 of 32 (50%) patients in the ONS group during the first 24 and 48 hours following surgery. Additionally, the incidence of complete response (no vomiting and no rescue antiemetic use) was significantly higher in the NK1 group than in the ONS group, and was 66% versus 41%, respectively, during the first 24 hours, and 63% versus 38%, respectively, during the first 48 hours. In patients undergoing craniotomy, fosaprepitant is more effective than ondansetron in increasing the rate of complete response and decreasing the incidence of vomiting at 24 and 48 hours postoperatively.

Indexed as

NeurosurgeryAdultAgedAged, 80 and overDemographyDouble-Blind MethodFemaleHumansInjections, IntravenousKaplan-Meier EstimateMaleMiddle AgedMorpholinesOndansetronPostoperative CarePostoperative Nausea and VomitingfosaprepitantMorpholinesOndansetron

Identifiers

PMID25050340
PMCPMC4094853
OpenAlexW2129745753

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.