A prospective cohort observational study to validate a simplified postoperative nausea and vomiting severity scale and its effects on sleep and vitality
Abstract Background Validating postoperative nausea and vomiting (PONV) severity based on antiemetics prescription can help actively manage PONV by the Rhodes Index of Nausea, Vomiting, and Retching (RINVR) scale but is relatively complicated. This study aims to validate the RINVR scale on PONV inte...
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2025-05-01
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| Online Access: | https://doi.org/10.1186/s12871-025-03074-2 |
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| author | Shih-Feng Weng Yu-Hwa Wu Tin-Wei Kang Chia-Chih Alex Tseng |
| author_facet | Shih-Feng Weng Yu-Hwa Wu Tin-Wei Kang Chia-Chih Alex Tseng |
| author_sort | Shih-Feng Weng |
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| description | Abstract Background Validating postoperative nausea and vomiting (PONV) severity based on antiemetics prescription can help actively manage PONV by the Rhodes Index of Nausea, Vomiting, and Retching (RINVR) scale but is relatively complicated. This study aims to validate the RINVR scale on PONV intensity with prescribed antiemetics usage, and further simplify and validate this scale to serve as the simplified PONV severity score (SPONVSS) and its effects on sleep quality and vitality. Methods This study analyzed data from patients who underwent anesthesia with sleep and vitality reports after surgery. We assessed the PONV severity by RINVR. We also simplified the RINVR score with one element selected from each dimension of PONV. The RINVR score and all 18 simplified combinations were validated with antiemetic usage. These scores were used to study patient-reported sleep quality and vitality. Results The AUC of the RINVR score and 18 combinations have a similar high impact on antiemetics administration, sleep, and vitality. Nausea frequency, vomiting, and retching times were chosen as the SPONVSS elements because of overall high AUC and convenience in implementation. Multivariate logistic regression analyses show that besides pain, the SPONVSS score provides a significant impact on postoperative sleep and vitality. Conclusions We developed a simple and practical scale to monitor PONV intensity in a broad clinical surgical setting. A high SPONVSS score (≥ 3) is an independent risk for rescue antiemesis, poor sleep quality, and vitality. This scale will be useful to monitor the postoperative care quality and improve postoperative care. |
| format | Article |
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| institution | OA Journals |
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| language | English |
| publishDate | 2025-05-01 |
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| series | BMC Anesthesiology |
| spelling | doaj-art-e27cfb8462cc4bfd8df96a5939f8d3ee2025-08-20T01:49:46ZengBMCBMC Anesthesiology1471-22532025-05-0125111010.1186/s12871-025-03074-2A prospective cohort observational study to validate a simplified postoperative nausea and vomiting severity scale and its effects on sleep and vitalityShih-Feng Weng0Yu-Hwa Wu1Tin-Wei Kang2Chia-Chih Alex Tseng3Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical UniversityDepartment of Biomedical Engineering, National Cheng Kung UniversityDepartment of Biomedical Engineering, National Cheng Kung UniversityDepartment of Biomedical Engineering, National Cheng Kung UniversityAbstract Background Validating postoperative nausea and vomiting (PONV) severity based on antiemetics prescription can help actively manage PONV by the Rhodes Index of Nausea, Vomiting, and Retching (RINVR) scale but is relatively complicated. This study aims to validate the RINVR scale on PONV intensity with prescribed antiemetics usage, and further simplify and validate this scale to serve as the simplified PONV severity score (SPONVSS) and its effects on sleep quality and vitality. Methods This study analyzed data from patients who underwent anesthesia with sleep and vitality reports after surgery. We assessed the PONV severity by RINVR. We also simplified the RINVR score with one element selected from each dimension of PONV. The RINVR score and all 18 simplified combinations were validated with antiemetic usage. These scores were used to study patient-reported sleep quality and vitality. Results The AUC of the RINVR score and 18 combinations have a similar high impact on antiemetics administration, sleep, and vitality. Nausea frequency, vomiting, and retching times were chosen as the SPONVSS elements because of overall high AUC and convenience in implementation. Multivariate logistic regression analyses show that besides pain, the SPONVSS score provides a significant impact on postoperative sleep and vitality. Conclusions We developed a simple and practical scale to monitor PONV intensity in a broad clinical surgical setting. A high SPONVSS score (≥ 3) is an independent risk for rescue antiemesis, poor sleep quality, and vitality. This scale will be useful to monitor the postoperative care quality and improve postoperative care.https://doi.org/10.1186/s12871-025-03074-2PONVSeverityAntiemesisSleepVitalitySPONVSS score |
| spellingShingle | Shih-Feng Weng Yu-Hwa Wu Tin-Wei Kang Chia-Chih Alex Tseng A prospective cohort observational study to validate a simplified postoperative nausea and vomiting severity scale and its effects on sleep and vitality BMC Anesthesiology PONV Severity Antiemesis Sleep Vitality SPONVSS score |
| title | A prospective cohort observational study to validate a simplified postoperative nausea and vomiting severity scale and its effects on sleep and vitality |
| title_full | A prospective cohort observational study to validate a simplified postoperative nausea and vomiting severity scale and its effects on sleep and vitality |
| title_fullStr | A prospective cohort observational study to validate a simplified postoperative nausea and vomiting severity scale and its effects on sleep and vitality |
| title_full_unstemmed | A prospective cohort observational study to validate a simplified postoperative nausea and vomiting severity scale and its effects on sleep and vitality |
| title_short | A prospective cohort observational study to validate a simplified postoperative nausea and vomiting severity scale and its effects on sleep and vitality |
| title_sort | prospective cohort observational study to validate a simplified postoperative nausea and vomiting severity scale and its effects on sleep and vitality |
| topic | PONV Severity Antiemesis Sleep Vitality SPONVSS score |
| url | https://doi.org/10.1186/s12871-025-03074-2 |
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