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Antiemetics and Apfel Scores in Orthopedic Surgery
Van N Tran1, Brennan J Fitzpatrick1, Sourav Das1,2
1The Royal Melbourne Hospital, Melbourne, VIC, Australia.
Hospital Pharmacy
|September 15, 2023
Summary
Orthopedic patients often have high Apfel scores, indicating a higher risk of postoperative nausea and vomiting (PONV). However, Apfel scores did not predict the number of antiemetics needed in this study.
Area of Science:
- Anesthesiology
- Orthopedic Surgery
- Clinical Pharmacy
Background:
- Postoperative nausea and vomiting (PONV) is a frequent surgical complication.
- Identifying reliable predictors for PONV remains a clinical challenge.
Purpose of the Study:
- To evaluate Apfel scores in orthopedic patients.
- To correlate Apfel scores with antiemetic prescribing patterns.
- To assess the utility of Apfel score screening for PONV prediction.
Main Methods:
- Retrospective analysis of 111 orthopedic patients at an Australian tertiary hospital.
- Patients were assigned Apfel scores.
- Prescribed and administered antiemetics were recorded.
Main Results:
- Most patients scored 2 or higher on the Apfel scale, suggesting increased PONV risk.
- No significant correlation was found between Apfel scores and the quantity of antiemetics used.
- A small percentage of patients had unrecorded Apfel scores.
Conclusions:
- Orthopedic patients generally present with higher Apfel scores, indicating a predisposition to PONV.
- Apfel score screening did not reliably predict antiemetic requirements in this cohort.
- Further research may be needed to refine PONV risk assessment in orthopedic surgery.
Keywords:
Apfel scoreantiemetic agentsorthopedicsperioperative medicinepost-operative nausea and vomitingMore Related Videos
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