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Table 1 Success rates of placebo or no treatment after a first emetic episode postoperatively.

From: Systematic review on the recurrence of postoperative nausea and vomiting after a first episode in the recovery room – implications for the treatment of PONV and related clinical trials

Reference

Oxford-scale (R/B/D)

type of surgery/patients

entry criteria

recurrent PONV after ... hours

n/N

recurrent vomiting after ... hours

n/N

recurrent PONV after ... hours

n/N

recurrent vomiting after ... hours

n/N

Alon, 1998 [28]

2/2/1

various

patients, experiencing nausea lasting > 10 min and/or emesis within 2 h after recovery from general anaesthesia

4

37/77

4

37/77

24

51/77

24

55/77

Anderson, 2004 [29]

1/1/0

various, outpatients

patients, spontaneously reporting nausea in the PACU

2

6/12

      

Barton, 1975 [30]

2/1/0

various

patients, developing nausea/vomiting in the recovery period

1

15/25

1

12/26

3*

24/30

3*

21/30

Bodner, 1991 [31]

1/1/0

laparoscopy, female outpatients

patients, complaining of persisting nausea (lasting >10 min) and/or experienced at least 2 episodes of emesis/retching

  

2

33/36

    

Boghaert, 1980 [32]

1/1/1

various

vomiting postoperatively

  

1

33/44

  

6

37/44

Bonica, 1958 [33]

1/1/1

various

   

0.5

186/272

    

Borgeat, 1992 [34]

1/1/0

various

patients, exhibiting major or severe nausea with vomiting

0.02

17/26

  

0,5

19/26

  

Diemunsch, 1997 [35]

1/1/0

various, primary gynaecological surgery

reporting nausea lasting 10 min or one emetic episode within 2 h in PACU

8

63/71

    

24

63/71

Diemunsch, 1999 [36]

1/1/0

abdominal or vaginal oophrectomy

experience of nausea and/or vomiting within 6 h of surgical recovery

6

16/18

6

14/18

24

18/18

24

17/18

Du Pen, 1992 [37]

1/1/1

primary gynaecological, outpatients

experience of nausea and/or vomiting within 2 h in the PACU

2

90/129

  

24

110/129

  

Fragen, 1978 [38]

2/0/1

gynaecologic surgical procedures

retching or vomiting in the immediate postoperative period

2

26/30

2

18/30

4

29/30

4

29/30

Fujii, 2004 [26]

2/2/1

laparoscopic cholecystectomy

experience of nausea lasting more than 10 min or retching or vomiting within 3 h after recovery

    

24

10/20

24

4/20

Gan, 1999 [39]

 

ambulatory surgery

significant nausea or vomiting within 1 h of arrival in the recovery room

2

18/23

2

13/23

    

Harper, 1998 [40]

2/2/1

laparoscopic gynaecological surgery

complaining of nausea and/or vomiting and requesting antiemetic treatment in the recovery room

  

1,5

2/12

3

9/12

3

6/12

Kauste, 1986 [41]

1/1/0

elective orthopaedic surgery

complains of nausea or retched or vomiting of any severity

  

6

22/36

24

30/36

24

24/36

Khalil, 1996 [42]

2/2/1

paediatric surgery, outpatients

experience of 2 emetic episodes within 2 h of discontinuation of nitrous oxygen

  

2

120/183

  

24

149/179

Korttila, 1979 [43]

1/1/0

orthopaedic surgery

complains of nausea or retched or vomitinf of any severity

    

24

18/40

  

Kovac, 1997 [44]

2/1/0

various, outpatients

postoperative nausea or vomiting within 2 h of arrival in the PACU

  

2

88/121

24

115/121

24

108/121

Kovac, 1999 [45]

2/1/1

various, outpatients

experience of PONV or requesting antiemetic therapy within 2 h of the end of anaesthesia

2

122/214

  

24

145/214

  

Larijani, 1991 [46]

2/1/0

orthopaedic/gynaecologic surgery

complaining of nausea or having a vomiting episode within 2 h of arrival in the recovery room

4

13/18

4

13/18

    

Lobera, 1981 [47]

1/1/0

breast surgery

presenting nausea and/or vomiting

0.33

38/60

      

Loeser, 1979 [48]

1/1/0

n/a

one or more episodes of vomiting in the recovery room

  

2

11/16

    

Polati, 1997 [49]

2/2/1

gynaecologic surgery

experience of persistent nausea with at least one emetic episode within 4 h of recovery

1

39/60

  

48

53/60

  

Rung, 1997 [50]

2/2/1

orthopaedic/gynaecologic surgery

experience of nausea and/or emesis and request of an antiemetic at any time after the start of opioid administration

6

27/32

  

24

27/32

  

Scuderi, 1993 [51]

2/1/0

outpatients

if symptomatic treatment for persistent nausea or vomiting was necessary

  

2*

26/55

    

Stockman, 1978 [52]

1/1/0

various

patients, who had a sufficient degree of postoperative nausea and/or vomiting to warrant antiemetic therapy

  

1

12/21

    

Taylor, 1997 [53]

2/1/0

gynaecological surgery

patients, who developed PONV within 4 hours of the end of surgery

6

111/133

6

98/133

24

116/133

24

107/133

van Leeuwen, 1980 [54]

1/1/0

general surgery, urology, plastic & vascular

vomiting postoperatively

  

6

30/48

    

Zegveld, 1978 [55]

1/1/1

abdominal and others

after vomiting had occurred

6

34/58

      

Eberhart, unpublished data [5,16]

n/a

various

Any nausea, retching or vomiting for at least 5 minutes

2,2

128/204

  

22,5

175/204

  
  1. * time intervals were not exactly defined in the original paper and were judged according to additional information in the text, e.g. data on the length of stay in the recovery room, discharge times, etc.