Effect of Body Mass Index on Postoperative Nausea and Vomiting: Propensity Analysis
The impact of body mass index (BMI) on postoperative nausea and vomiting (PONV) is controversial, and few studies have focused on their relationship. We investigated the effects of BMI on PONV, taking into account other PONV risk factors. We analyzed adults over the age of 18 years who received gene...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2020-05-01
|
Series: | Journal of Clinical Medicine |
Subjects: | |
Online Access: | https://www.mdpi.com/2077-0383/9/6/1612 |
id |
doaj-cac7f537ce624bbf8477b875972a13b3 |
---|---|
record_format |
Article |
spelling |
doaj-cac7f537ce624bbf8477b875972a13b32020-11-25T03:02:19ZengMDPI AGJournal of Clinical Medicine2077-03832020-05-0191612161210.3390/jcm9061612Effect of Body Mass Index on Postoperative Nausea and Vomiting: Propensity AnalysisJong Ho Kim0Mingi Hong1Young Joon Kim2Ho Seok Lee3Young Suk Kwon4Jae Jun Lee5Department of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon24253, KoreaInstitute of New Frontier Research Team, Hallym University, Chuncheon24253, KoreaDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon24253, KoreaDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon24253, KoreaDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon24253, KoreaDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon24253, KoreaThe impact of body mass index (BMI) on postoperative nausea and vomiting (PONV) is controversial, and few studies have focused on their relationship. We investigated the effects of BMI on PONV, taking into account other PONV risk factors. We analyzed adults over the age of 18 years who received general anesthesia between 2015 and 2019, using propensity score matching. Before propensity score matching, odds ratios (ORs) for PONV were lower for overweight (OR, 0.91; 95% confidence interval (CI), 0.87–0.96; <i>p </i>< 0.0001) or obese patients (OR, 0.77; 95% CI, 0.71–0.84; <i>p </i>< 0.0001) than for normal-BMI patients. After matching, the ORs for PONV of overweight (OR, 0.89; 95% CI, 0.80–0.98; <i>p </i>= 0.016) and obese patients (OR, 0.71; 95% CI, 0.63–0.79; <i>p </i>< 0.0001) were low. However, the ORs of underweight patients did not differ from those of normal-BMI patients, irrespective of matching. Therefore, the incidence of PONV may be lower among adults with a higher‑than‑normal BMI.https://www.mdpi.com/2077-0383/9/6/1612body mass indexobesityoverweightpostoperative nausea and vomiting |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jong Ho Kim Mingi Hong Young Joon Kim Ho Seok Lee Young Suk Kwon Jae Jun Lee |
spellingShingle |
Jong Ho Kim Mingi Hong Young Joon Kim Ho Seok Lee Young Suk Kwon Jae Jun Lee Effect of Body Mass Index on Postoperative Nausea and Vomiting: Propensity Analysis Journal of Clinical Medicine body mass index obesity overweight postoperative nausea and vomiting |
author_facet |
Jong Ho Kim Mingi Hong Young Joon Kim Ho Seok Lee Young Suk Kwon Jae Jun Lee |
author_sort |
Jong Ho Kim |
title |
Effect of Body Mass Index on Postoperative Nausea and Vomiting: Propensity Analysis |
title_short |
Effect of Body Mass Index on Postoperative Nausea and Vomiting: Propensity Analysis |
title_full |
Effect of Body Mass Index on Postoperative Nausea and Vomiting: Propensity Analysis |
title_fullStr |
Effect of Body Mass Index on Postoperative Nausea and Vomiting: Propensity Analysis |
title_full_unstemmed |
Effect of Body Mass Index on Postoperative Nausea and Vomiting: Propensity Analysis |
title_sort |
effect of body mass index on postoperative nausea and vomiting: propensity analysis |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2020-05-01 |
description |
The impact of body mass index (BMI) on postoperative nausea and vomiting (PONV) is controversial, and few studies have focused on their relationship. We investigated the effects of BMI on PONV, taking into account other PONV risk factors. We analyzed adults over the age of 18 years who received general anesthesia between 2015 and 2019, using propensity score matching. Before propensity score matching, odds ratios (ORs) for PONV were lower for overweight (OR, 0.91; 95% confidence interval (CI), 0.87–0.96; <i>p </i>< 0.0001) or obese patients (OR, 0.77; 95% CI, 0.71–0.84; <i>p </i>< 0.0001) than for normal-BMI patients. After matching, the ORs for PONV of overweight (OR, 0.89; 95% CI, 0.80–0.98; <i>p </i>= 0.016) and obese patients (OR, 0.71; 95% CI, 0.63–0.79; <i>p </i>< 0.0001) were low. However, the ORs of underweight patients did not differ from those of normal-BMI patients, irrespective of matching. Therefore, the incidence of PONV may be lower among adults with a higher‑than‑normal BMI. |
topic |
body mass index obesity overweight postoperative nausea and vomiting |
url |
https://www.mdpi.com/2077-0383/9/6/1612 |
work_keys_str_mv |
AT jonghokim effectofbodymassindexonpostoperativenauseaandvomitingpropensityanalysis AT mingihong effectofbodymassindexonpostoperativenauseaandvomitingpropensityanalysis AT youngjoonkim effectofbodymassindexonpostoperativenauseaandvomitingpropensityanalysis AT hoseoklee effectofbodymassindexonpostoperativenauseaandvomitingpropensityanalysis AT youngsukkwon effectofbodymassindexonpostoperativenauseaandvomitingpropensityanalysis AT jaejunlee effectofbodymassindexonpostoperativenauseaandvomitingpropensityanalysis |
_version_ |
1724690210688598016 |