Evidence map›Paper›PMID 37964809›Full record

ArticleFrontiers in pediatrics2023

Is PONV still a problem in pediatric surgery: a prospective study of what children tell us.

Brigitte Messerer, Marko Stijic, Andreas Sandner-Kiesling, Johanna M Brillinger, Jasmin Helm, Jacqueline Scheer, Christof Stefan Strohmeier, Alexander Avian

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Observational
  2. Interdisciplinary management of patients with special healthcare needs undergoing dental treatment in a tertiary care hospital setting in Germany: a retrospective study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Article
  3. Article
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

8 authors at 1 institution in 1 country.

Brigitte Messerer *Department of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Marko Stijic *Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Andreas Sandner-KieslingDepartment of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Johanna M BrillingerInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Jasmin HelmInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Jacqueline ScheerInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Christof Stefan StrohmeierInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Alexander AvianInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Medical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative nausea and vomiting (PONV) is an unpleasant complication after surgery that commonly co-occurs with pain. Considering the high prevalence among pediatric patients, it is important to explore the main risk factors leading to PONV in order to optimize treatment strategies. The objectives of this study are as follows: (1) to determine the prevalence of PONV on the day of surgery by conducting interviews with pediatric patients, (2) to assess PONV prevalence in the recovery room and on the ward by analyzing nursing records, and (3) to collect information on PONV risk factors on the day of surgery and the following postoperative days. We wanted to investigate real-life scenarios rather than relying on artificially designed studies. Methods: A prospective analysis [according to STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) guidelines] of PONV on the day of surgery and the following postoperative days was conducted by evaluating demographic and procedural parameters, as well as conducting interviews with the children under study. A total of 626 children and adolescents, ranging in age from 4 to 18 years, were interviewed on the ward following their surgery. The interviews were conducted using a questionnaire, as children aged 4 and above can participate in an outcome-based survey. Results: On the day of surgery, several multivariable independent predictors were identified for PONV. The type of surgery was found to be a significant factor ( Conclusions: The main risk factors for PONV include the intraoperative administration of opioids during the recovery room stay and at the ward, the intraoperative use of non-opioids (diclofenac), and the specific type of surgical procedure. Real-life data demonstrated that in clinical praxis, there is a gap between the adherence to established guidelines and the use of antiemetic prophylaxis in surgeries that are generally not associated with a high PONV prevalence. Further efforts are needed to improve the existing procedures and thus improve the overall outcome.

Indexed as

analgesicsantiemeticpediatricspostoperative nausea and vomitingprevalencerisk factors

Identifiers

PMID37964809
PMCPMC10642485
OpenAlexW4388032252

What OpenQuestion holds

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LicenceCC BY
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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.