Weng Shih-Feng, Wu Yu-Hwa, Kang Tin-Wei, Tseng Chia-Chih Alex
Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan R.O.C.
Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan R.O.C.
BMC Anesthesiol. 2025 May 10;25(1):236. doi: 10.1186/s12871-025-03074-2.
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.
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.
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.
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.
基于止吐药处方来验证术后恶心呕吐（PONV）的严重程度，有助于通过恶心、呕吐和干呕的罗兹指数（RINVR）量表对PONV进行积极管理，但过程相对复杂。本研究旨在通过规定的止吐药使用情况来验证RINVR量表对PONV强度的评估，进一步简化并验证该量表，以作为简化的PONV严重程度评分（SPONVSS）及其对睡眠质量和活力的影响。
本研究分析了术后伴有睡眠和活力报告的麻醉患者的数据。我们通过RINVR评估PONV严重程度。我们还从PONV的每个维度中选择一个要素来简化RINVR评分。用止吐药使用情况对RINVR评分和所有18种简化组合进行验证。这些评分用于研究患者报告的睡眠质量和活力。
RINVR评分和18种组合的曲线下面积（AUC）对止吐药使用、睡眠和活力具有相似的高影响。由于总体AUC较高且实施方便，恶心频率、呕吐和干呕次数被选为SPONVSS要素。多因素逻辑回归分析表明，除疼痛外，SPONVSS评分对术后睡眠和活力有显著影响。
我们制定了一个简单实用的量表，用于在广泛的临床手术环境中监测PONV强度。高SPONVSS评分（≥3）是需要急救性止吐、睡眠质量差和活力低的独立危险因素。该量表将有助于监测术后护理质量并改善术后护理。
