Evidence map›Paper›PMID 41188673›Full record

Observational studyObesity surgery2025

Early Postoperative Nausea and Vomiting After Bariatric Surgery: A Study of 8426 Patients from the Swedish Perioperative Registry (SPOR).

Jakob Walldén, Mattias Larsson, Antonio Moraitis, Sandra Ahlqvist, Yucel Cengiz, Tomi Myrberg, Helena Nyström, Magnus Hultin

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04433676 (Risk of Early Postoperative Nausea and Vomiting), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT04433676 recruitingnot on this map

Risk of Early Postoperative Nausea and Vomiting (PONV) - a Study With Data From the Swedish Perioperative Register (SPOR).

Typeobservational_patient_registrySponsorJakob WalldenRan2016 to 2029Enrolled1,500,000ConditionsPostoperative Nausea and Vomiting, Postoperative ComplicationsArmsno intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. 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.

Jakob WalldénDepartment of Diagnostics and Intervention and Department of Anaesthesiology and Intensive Care (Sundsvall), Umeå University, Umeå, Sweden. jakob.wallden@umu.se.
Mattias LarssonDepartment of Diagnostics and Intervention and Department of Anaesthesiology and Intensive Care (Sundsvall), Umeå University, Umeå, Sweden.
Antonio MoraitisDepartment of Diagnostics and Intervention and Department of Anaesthesiology and Intensive Care (Sundsvall), Umeå University, Umeå, Sweden.
Sandra AhlqvistDepartment of Diagnostics and Intervention and Department of Anaesthesiology and Intensive Care (Sundsvall), Umeå University, Umeå, Sweden.
Yucel CengizDepartment of Diagnostics and Intervention and Centre of Surgery (Sundsvall), Umeå University, Umeå, Sweden.
Tomi MyrbergDepartment of Diagnostics and Intervention and Centre of Anaesthesiology and Intensive Care Medicine (Sunderbyn), Umeå University, Umeå, Sweden.
Helena NyströmDepartment of Diagnostics and Intervention and Department of Anaesthesiology and Intensive Care (Umeå), Umeå University, Umeå, Sweden.
Magnus HultinDepartment of Diagnostics and Intervention and Department of Anaesthesiology and Intensive Care (Umeå), Umeå University, Umeå, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe reported incidence of postoperative nausea and vomiting (PONV) after laparoscopic bariatric surgery is up to 60-80%. Hower, studies are limited, and larger studies are warranted. As PONV is usually evaluated in the post-anesthesia care unit (PACU), studying early PONV can be a valuable tool for exploring risk and associated factors for PONV.

methodsUsing prospectively collected data from the Swedish perioperative registry (SPOR) from 2016 to 2022, we explore the incidence and associated factors for early PONV after laparoscopic bariatric surgery. Laparoscopic gastric bypass and laparoscopic gastric sleeve procedures in adult patients (≥ 18 years) were included. The primary outcome was the incidence of PONV in the PACU. Secondary outcomes were factors associated with PONV, which were analyzed using a multivariate logistic regression model.

resultsIn total, 14,098 procedures were identified in the registry during the study period, and 8426 unique patients from 32 hospitals in Sweden were included in the final study cohort. PONV in PACU was present in 36% (n = 3018) of patients. Factors associated with early PONV were female sex, age, moderate-severe pain, gastric sleeve procedures, duration in PACU, and hospital.

conclusionsIn this national register-based cohort study, one third of patients experienced early PONV in the PACU after laparoscopic bariatric surgery. Several risk factors were associated with increased occurrence of PONV, and there was variability among hospitals in the incidence of PONV. CLINICALTRIALS: gov: NCT04433676.

Indexed as

Bariatric SurgeryLaparoscopyObesity, MorbidPostoperative Nausea and VomitingAdultFemaleGastric BypassHumansIncidenceMaleMiddle AgedProspective StudiesRegistriesRisk FactorsSwedenBariatric surgeryPatient outcomesPerioperative carePostoperative nausea and vomiting

Identifiers

PMID41188673
PMCPMC12722411

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Registered trials

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.