• Paediatric anaesthesia · Jan 2007

    Motion sickness as a predictor of postoperative vomiting in children aged 1-16 years.

    • Mark Thomas, Greg Woodhead, Nadia Masood, and Richard Howard.
    • Department of Anaesthesia, Great Ormond Street Hospital, London, UK. thomam@gosh.nhs.uk
    • Paediatr Anaesth. 2007 Jan 1;17(1):61-3.

    BackgroundMotion sickness (MS) may be a risk factor for postoperative vomiting (POV), but its independent predictive value in children is not known.MethodsA convenience sample of 70 consecutive patients aged 1-16 years scheduled for elective surgery were questioned, a history of MS was sought and patients were observed for the subsequent development of POV.ResultsThe overall incidence of POV was 29%. Fourteen children (20%) had a history of MS; MS-positive children were more likely to vomit than those who were MS-negative (P < 0.01). The type of surgery, use of opioids or prophylactic antiemetics did not differ significantly between the groups. The sensitivity of MS as a predictor of POV is 45% and the specificity 90%, giving a positive predictive value of 64.3% and a negative predictive value of 80.4%.ConclusionMotion sickness is associated with POV in this group of children, but its positive predictive value is fairly low.

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