Evidence map›Paper›PMID 41883346›Full record

ArticleFrontiers in medicine2025

Incidence and risk factors for postoperative nausea and vomiting following video-assisted thoracoscopic surgery: a prospective observational study.

Jing Zhang, Jing Ma, Liang Jin, Yi Liu, Xueyao Yu, Jinjin Huo, Ning Kang, Shuang Gao, Yuanhang Zhang, Liyun Bao and 6 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

16 authors.

Jing Zhang *Department of Anesthesiology, Peking University Third Hospital, Beijing, China.
Jing Ma *Department of Thoracic Surgery, Peking University Third Hospital, Beijing, China.
Liang Jin *Department of Thoracic Surgery, Peking University Third Hospital, Beijing, China.
Yi LiuDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Xueyao YuDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Jinjin HuoDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Ning KangDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Shuang GaoDepartment of Laboratory Medicine, Peking University Third Hospital, Beijing, China.
Yuanhang ZhangDepartment of Thoracic Surgery, Peking University Third Hospital, Beijing, China.
Liyun BaoDepartment of Thoracic Surgery, Peking University Third Hospital, Beijing, China.
Wei LiuDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Liyuan HaoDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Li FanDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Jiechu WangDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Xiangyang GuoDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Ning YangDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative nausea and vomiting (PONV) is a common complication after general anesthesia, contributing to patient discomfort, adverse clinical outcomes, and increased healthcare costs. While video-assisted thoracoscopic surgery (VATS) offers substantial benefits over open procedures, data on the incidence and predictors of PONV specifically following VATS are scarce and predominantly derived from retrospective studies. This study aimed to prospectively determine the incidence and identify independent risk factors for PONV within the first 72 h after VATS. Methods: In this single-center, prospective observational study, we enrolled 355 adult patients (aged ≥ 18 years) who underwent VATS under general anesthesia at Peking University Third Hospital between September 2022 and September 2023. PONV was assessed in the post-anesthesia care unit (PACU) within 2 h postoperatively and then daily on the ward for three consecutive days. The primary outcome was the incidence of PONV within 72 h. Multivariate logistic regression was employed to identify independent risk factors, with a Results: The overall incidence of PONV within 72 h was 19.44% (69/355). PONV was significantly more frequent in female patients (84.06% of PONV cases) than in males (15.94%, Conclusion: Approximately one in five patients experienced PONV within 72 h after VATS. Independent risk factors included female gender, preoperative ESPB, omission of preoperative steroid prophylaxis, and low intraoperative minimum MAP. These findings highlight potential targets for risk stratification and optimized PONV prophylaxis in this surgical population.

Indexed as

general anesthesiapostoperative nausea and vomiting (PONV)prospective studyrisk factorsvideo-assisted thoracoscopic lung surgery (VATS)

Identifiers

PMID41883346
PMCPMC13010859

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