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Background <p>Postoperative nausea and vomiting (PONV) are among the most common postoperative complications affecting children. In adult patients, cigarette smoking significantly reduces the incidence of PONV, although the mechanism underlying this effect is unclear. Here we aimed to investigate whether environmental tobacco smoke exposure influenced the PONV incidence among children.</p> Methods <p>This monocentric retrospective study included 1348 children (1–15 years of age), who underwent endoscopic adenoidectomy under general anaesthesia, between 22 March 2017 and 26 June 2023. Data for this study were obtained from the patient’s medical records and from a telephone conversation with their parent.</p> Results <p>Our analysis revealed that the PONV incidence was significantly lower in children exposed to environmental tobacco smoke (ETS), compared to in children who were not passive smokers (13.9% vs 22.1%; <i>p</i> &lt; 0.001). Children of non-smoking parents were at a higher risk of developing PONV (OR: 1.82; 95% CI: 1.31–2.58).</p> Conclusions <p>Although exposure to ETS has many undesirable consequences, it is also associated with a lower incidence of PONV. Conversely, children without ETS exposure are at a higher risk of PONV development and should receive proactive pharmacological prophylaxis.</p>

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Effect of second-hand smoking on the incidence of postoperative nausea and vomiting in children after adenoidectomy: a single-centre retrospective study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月17日

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  • Michal Frelich,
  • Filip Burša,
  • Ondřej Jor,
  • Vojtěch Vodička,
  • Kristýna Křenková,
  • Natálie Vítková,
  • Adéla Kondé,
  • Michal Parma,
  • Denis Buršík,
  • Patrik Šámaj,
  • Nela Walachová,
  • Peter Kantor,
  • Viktoria Hranková,
  • Simona Motalová,
  • Peter Sklienka

摘要

Background

Postoperative nausea and vomiting (PONV) are among the most common postoperative complications affecting children. In adult patients, cigarette smoking significantly reduces the incidence of PONV, although the mechanism underlying this effect is unclear. Here we aimed to investigate whether environmental tobacco smoke exposure influenced the PONV incidence among children.

Methods

This monocentric retrospective study included 1348 children (1–15 years of age), who underwent endoscopic adenoidectomy under general anaesthesia, between 22 March 2017 and 26 June 2023. Data for this study were obtained from the patient’s medical records and from a telephone conversation with their parent.

Results

Our analysis revealed that the PONV incidence was significantly lower in children exposed to environmental tobacco smoke (ETS), compared to in children who were not passive smokers (13.9% vs 22.1%; p < 0.001). Children of non-smoking parents were at a higher risk of developing PONV (OR: 1.82; 95% CI: 1.31–2.58).

Conclusions

Although exposure to ETS has many undesirable consequences, it is also associated with a lower incidence of PONV. Conversely, children without ETS exposure are at a higher risk of PONV development and should receive proactive pharmacological prophylaxis.