Evidence mapPaperPMID 30899294Full record

ArticleArchives of medical science : AMS2019

Standardised electronic algorithms for monitoring prophylaxis of postoperative nausea and vomiting.

Hans-Jörg Gillmann, Sascha Wasilenko, Jonathan Züger, Antje Petersen, Anna Klemann, Andreas Leffler, Thomas Stueber

Open access · goldAbstract read
In one paragraph

Article in Archives of medical science : AMS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. 5-HTInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Pooled it
  2. Trial
  3. Article
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  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Hans-Jörg GillmannDepartment of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.
Sascha WasilenkoDepartment of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.
Jonathan ZügerDepartment of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.
Antje PetersenDepartment of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.
Anna KlemannDepartment of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.
Andreas LefflerDepartment of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.
Thomas StueberDepartment of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.
Medizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite comprehensive guidelines with high-grade evidence, postoperative nausea and vomiting (PONV) remains a frequent problem in anaesthesia care. Anaesthesia information management systems (AIMS) may aid clinicians in PONV prevention, but their benefit is critically dependent on the details of implementation into practice. This study aimed to examine strengths and weaknesses of the local AIMS-based algorithm in prevention of PONV. MATERIAL AND

methodsThis retrospective study was conducted in the post-anaesthesia care unit (PACU) of a university hospital and included 10 604 patients aged 18 or older who were followed up in the PACU (intracranial, obstetrical or cardiothoracic surgery excluded) from March 2013 until March 2014. The PONV incidence in PACU and AIMS data validity were analysed.

resultsAdherence to PONV guideline recommendations was considerably low, with only 5749 (54%) of the patients receiving correct PONV prophylaxis. Two thousand seven hundred sixty-six (26%) of the patients received an insufficient PONV prophylaxis, which was associated with an excess PONV incidence (11% vs. 4% with correct prophylaxis,

conclusionsAdherence to PONV prophylaxis guidelines in the era of AIMS software and decision support is still remarkably low. The AIMS data usefulness depends on the user, the type of data input and the configuration of the software. Adherence to correct PONV prophylaxis should be re-evaluated systematically before discharge from PACU.

Indexed as

anaesthesia information management systemsanaesthesiologydocumentationpatient safetyperioperative managementpostoperative nausea and vomiting

Identifiers

PMID30899294
PMCPMC6425213
OpenAlexW2919309459

What Socratic holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.