Hirsch J
International Pharmacoeconomic Research Department, Glaxo Group Research, Greenford, Middlesex, UK.
Anaesthesia. 1994 Jan;49 Suppl:30-3. doi: 10.1111/j.1365-2044.1994.tb03580.x.
Postoperative nausea and vomiting is one of the most common complications of inpatient and day case surgical procedures. In a climate where total cost of an illness is becoming increasingly important, postoperative nausea and vomiting is a major contributor to direct and indirect costs for both the hospital and patient. In patient terms, the impact of increased recovery room stays and extra nursing time required by PONV patients has been estimated to range from 96-576 more surgical procedures which may be performed in an 'average' day case surgery centre. Postoperative nausea and vomiting is perceived by patients to account for equal or more debilitation than surgery itself and may cause them to lose wages due to absence from work. Reducing the incidence of nausea and vomiting and its associated problems may therefore provide opportunities to improve patient care, decrease the size of waiting lists and improve utilisation of scarce healthcare resources.
术后恶心呕吐是住院手术和日间手术中最常见的并发症之一。在疾病总成本日益重要的情况下，术后恶心呕吐是导致医院和患者直接及间接费用增加的主要因素。从患者角度来看，据估计，因术后恶心呕吐患者在恢复室停留时间延长以及需要额外护理时间，导致“普通”日间手术中心一天内可能少做96至576台手术。患者认为术后恶心呕吐造成的虚弱程度与手术本身相当甚至更严重，还可能导致他们因缺勤而损失工资。因此，降低恶心呕吐的发生率及其相关问题，可能为改善患者护理、缩短等候名单长度以及提高稀缺医疗资源的利用率提供契机。
