Machine learning-based prediction of postoperative nausea and vomiting after spinal anesthesia: A retrospective observational study
Postoperative nausea and vomiting (PONV) is a frequent and serious complication after surgery. PONV also reduces patient satisfaction with surgery under spinal anesthesia and increases medical costs due to prolonged hospitalization. The purpose of this study is to apply artificial intelligence (AI) machine learning analysis to identify risk factors for PONV in patients undergoing surgery with spinal anesthesia. This retrospective study used artificial intelligence to analyze data of adult patients (aged ≥20 year…
An ensemble of five machine learning algorithms applied to spinal anesthesia cases identified actionable risk factors for postoperative nausea and vomiting, with postoperative fentanyl as the strongest contributor, and was described as accurate enough to support PONV prediction.
Findings come from a single-center retrospective dataset with propensity matching that reduced the analytic cohort to 538 of 4,574 patients, limiting generalizability and causal inference.
Evidence
- Peer-reviewedPLOS One2026-08-05
How should this claim be treated?
Truvace Impact Record TRV-2026-0665, v1: “Machine learning-based prediction of postoperative nausea and vomiting after spinal anesthesia: A retrospective observational study.” Truvace, 2026-08-06. /record/TRV-2026-0665 (accessed at citation time). sha256 0465dd16633a5429…
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