Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting
Van Den Bosch, J. E. ; Kalkman, C. J. ; Vergouwe, Y. ; Van Klei, W. A. ; Bonsel, G. J. ; Grobbee, D. E. ; Moons, K. G. M.
Oxford, UK : Blackwell Science Ltd
Published 2005
Oxford, UK : Blackwell Science Ltd
Published 2005
| ISSN: |
1365-2044
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|---|---|
| Source: |
Blackwell Publishing Journal Backfiles 1879-2005
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| Topics: |
Medicine
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| Notes: |
We have validated two scoring systems for predicting postoperative nausea and vomiting, derived by Apfel et al. and Koivuranta et al. from 1388 adult inpatients undergoing a wide range of surgical procedures. The predictive accuracy of the scoring systems was evaluated in terms of the ability to discriminate between patients with and without postoperative nausea and vomiting (discrimination) and agreement between observed and predicted outcomes (calibration). Discrimination and calibration were less than expected based on previous reports, with both scoring systems providing risk predictions that were too extreme. The area under the ROC curve was 0.63 for Apfel et al.'s scoring system and 0.66 for Koivuranta et al.'s scoring system. Neither of the scoring systems provided a risk threshold for administering anti-emetic prophylaxis that yielded satisfying results in terms of predictive values, sensitivity and specificity. Hence, in their original forms, the scoring systems do not guarantee accurate prediction of the risk of postoperative nausea and vomiting in other patient populations. Koivuranta et al.'s scoring system appears to be more robust across different populations.
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| Type of Medium: |
Electronic Resource
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| URL: |
| _version_ | 1798290184240889856 |
|---|---|
| autor | Van Den Bosch, J. E. Kalkman, C. J. Vergouwe, Y. Van Klei, W. A. Bonsel, G. J. Grobbee, D. E. Moons, K. G. M. |
| autorsonst | Van Klei, W. A. Bonsel, G. J. Grobbee, D. E. Moons, K. G. M. |
| book_url | http://dx.doi.org/10.1111/j.1365-2044.2005.04121.x |
| datenlieferant | nat_lic_papers |
| hauptsatz | hsatz_simple |
| identnr | NLZ24224145X |
| insertion_date | 2012-04-27 |
| issn | 1365-2044 |
| journal_name | Anaesthesia |
| materialart | 1 |
| notes | We have validated two scoring systems for predicting postoperative nausea and vomiting, derived by Apfel et al. and Koivuranta et al. from 1388 adult inpatients undergoing a wide range of surgical procedures. The predictive accuracy of the scoring systems was evaluated in terms of the ability to discriminate between patients with and without postoperative nausea and vomiting (discrimination) and agreement between observed and predicted outcomes (calibration). Discrimination and calibration were less than expected based on previous reports, with both scoring systems providing risk predictions that were too extreme. The area under the ROC curve was 0.63 for Apfel et al.'s scoring system and 0.66 for Koivuranta et al.'s scoring system. Neither of the scoring systems provided a risk threshold for administering anti-emetic prophylaxis that yielded satisfying results in terms of predictive values, sensitivity and specificity. Hence, in their original forms, the scoring systems do not guarantee accurate prediction of the risk of postoperative nausea and vomiting in other patient populations. Koivuranta et al.'s scoring system appears to be more robust across different populations. |
| package_name | Blackwell Publishing |
| publikationsjahr_anzeige | 2005 |
| publikationsjahr_facette | 2005 |
| publikationsjahr_intervall | 7994:2005-2009 |
| publikationsjahr_sort | 2005 |
| publikationsort | Oxford, UK |
| publisher | Blackwell Science Ltd |
| reference | 60 (2005), S. 0 |
| search_space | articles |
| shingle_author_1 | Van Den Bosch, J. E. Kalkman, C. J. Vergouwe, Y. Van Klei, W. A. Bonsel, G. J. Grobbee, D. E. Moons, K. G. M. |
| shingle_author_2 | Van Den Bosch, J. E. Kalkman, C. J. Vergouwe, Y. Van Klei, W. A. Bonsel, G. J. Grobbee, D. E. Moons, K. G. M. |
| shingle_author_3 | Van Den Bosch, J. E. Kalkman, C. J. Vergouwe, Y. Van Klei, W. A. Bonsel, G. J. Grobbee, D. E. Moons, K. G. M. |
| shingle_author_4 | Van Den Bosch, J. E. Kalkman, C. J. Vergouwe, Y. Van Klei, W. A. Bonsel, G. J. Grobbee, D. E. Moons, K. G. M. |
| shingle_catch_all_1 | Van Den Bosch, J. E. Kalkman, C. J. Vergouwe, Y. Van Klei, W. A. Bonsel, G. J. Grobbee, D. E. Moons, K. G. M. Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting Blackwell Science Ltd We have validated two scoring systems for predicting postoperative nausea and vomiting, derived by Apfel et al. and Koivuranta et al. from 1388 adult inpatients undergoing a wide range of surgical procedures. The predictive accuracy of the scoring systems was evaluated in terms of the ability to discriminate between patients with and without postoperative nausea and vomiting (discrimination) and agreement between observed and predicted outcomes (calibration). Discrimination and calibration were less than expected based on previous reports, with both scoring systems providing risk predictions that were too extreme. The area under the ROC curve was 0.63 for Apfel et al.'s scoring system and 0.66 for Koivuranta et al.'s scoring system. Neither of the scoring systems provided a risk threshold for administering anti-emetic prophylaxis that yielded satisfying results in terms of predictive values, sensitivity and specificity. Hence, in their original forms, the scoring systems do not guarantee accurate prediction of the risk of postoperative nausea and vomiting in other patient populations. Koivuranta et al.'s scoring system appears to be more robust across different populations. 1365-2044 13652044 |
| shingle_catch_all_2 | Van Den Bosch, J. E. Kalkman, C. J. Vergouwe, Y. Van Klei, W. A. Bonsel, G. J. Grobbee, D. E. Moons, K. G. M. Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting Blackwell Science Ltd We have validated two scoring systems for predicting postoperative nausea and vomiting, derived by Apfel et al. and Koivuranta et al. from 1388 adult inpatients undergoing a wide range of surgical procedures. The predictive accuracy of the scoring systems was evaluated in terms of the ability to discriminate between patients with and without postoperative nausea and vomiting (discrimination) and agreement between observed and predicted outcomes (calibration). Discrimination and calibration were less than expected based on previous reports, with both scoring systems providing risk predictions that were too extreme. The area under the ROC curve was 0.63 for Apfel et al.'s scoring system and 0.66 for Koivuranta et al.'s scoring system. Neither of the scoring systems provided a risk threshold for administering anti-emetic prophylaxis that yielded satisfying results in terms of predictive values, sensitivity and specificity. Hence, in their original forms, the scoring systems do not guarantee accurate prediction of the risk of postoperative nausea and vomiting in other patient populations. Koivuranta et al.'s scoring system appears to be more robust across different populations. 1365-2044 13652044 |
| shingle_catch_all_3 | Van Den Bosch, J. E. Kalkman, C. J. Vergouwe, Y. Van Klei, W. A. Bonsel, G. J. Grobbee, D. E. Moons, K. G. M. Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting Blackwell Science Ltd We have validated two scoring systems for predicting postoperative nausea and vomiting, derived by Apfel et al. and Koivuranta et al. from 1388 adult inpatients undergoing a wide range of surgical procedures. The predictive accuracy of the scoring systems was evaluated in terms of the ability to discriminate between patients with and without postoperative nausea and vomiting (discrimination) and agreement between observed and predicted outcomes (calibration). Discrimination and calibration were less than expected based on previous reports, with both scoring systems providing risk predictions that were too extreme. The area under the ROC curve was 0.63 for Apfel et al.'s scoring system and 0.66 for Koivuranta et al.'s scoring system. Neither of the scoring systems provided a risk threshold for administering anti-emetic prophylaxis that yielded satisfying results in terms of predictive values, sensitivity and specificity. Hence, in their original forms, the scoring systems do not guarantee accurate prediction of the risk of postoperative nausea and vomiting in other patient populations. Koivuranta et al.'s scoring system appears to be more robust across different populations. 1365-2044 13652044 |
| shingle_catch_all_4 | Van Den Bosch, J. E. Kalkman, C. J. Vergouwe, Y. Van Klei, W. A. Bonsel, G. J. Grobbee, D. E. Moons, K. G. M. Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting Blackwell Science Ltd We have validated two scoring systems for predicting postoperative nausea and vomiting, derived by Apfel et al. and Koivuranta et al. from 1388 adult inpatients undergoing a wide range of surgical procedures. The predictive accuracy of the scoring systems was evaluated in terms of the ability to discriminate between patients with and without postoperative nausea and vomiting (discrimination) and agreement between observed and predicted outcomes (calibration). Discrimination and calibration were less than expected based on previous reports, with both scoring systems providing risk predictions that were too extreme. The area under the ROC curve was 0.63 for Apfel et al.'s scoring system and 0.66 for Koivuranta et al.'s scoring system. Neither of the scoring systems provided a risk threshold for administering anti-emetic prophylaxis that yielded satisfying results in terms of predictive values, sensitivity and specificity. Hence, in their original forms, the scoring systems do not guarantee accurate prediction of the risk of postoperative nausea and vomiting in other patient populations. Koivuranta et al.'s scoring system appears to be more robust across different populations. 1365-2044 13652044 |
| shingle_title_1 | Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting |
| shingle_title_2 | Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting |
| shingle_title_3 | Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting |
| shingle_title_4 | Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting |
| sigel_instance_filter | dkfz geomar wilbert ipn albert |
| source_archive | Blackwell Publishing Journal Backfiles 1879-2005 |
| timestamp | 2024-05-06T08:12:41.691Z |
| titel | Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting |
| titel_suche | Assessing the applicability of scoring systems for predicting postoperative nausea and vomiting |
| topic | WW-YZ |
| uid | nat_lic_papers_NLZ24224145X |