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

Mark Thomas, Greg Woodhead, Nadia Masood, Richard Howard

Research output: Contribution to journalArticle

14 Citations (Scopus)


Background: Motion sickness (MS) may be a risk factor for postoperative vomiting (POV), but its independent predictive value in children is not known.

Methods: A 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.

Results: The 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%.

Conclusion: Motion sickness is associated with POV in this group of children, but its positive predictive value is fairly low.

Original languageEnglish
Pages (from-to)61-63
Number of pages3
JournalPediatric Anesthesia
Issue number1
Early online date26 Jun 2006
Publication statusPublished - Jan 2007


  • pediatric
  • motion sickness
  • postoperative vomiting
  • pediatric-patients
  • prophylactic ondansetron
  • unanticipated admission
  • ambulatory surgery
  • previous history
  • nausea
  • emesis
  • metaanalysis
  • granisetron


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