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Trial · NCT02625181

Real-time Decision Support for Postoperative Nausea and Vomiting (PONV) Prophylaxis

NCT02625181, Not applicable, Completed, Vanderbilt University; results first posted 2019-03-07

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Real-time Decision Support for Postoperative Nausea and Vomiting (PONV) Prophylaxis. Trials, record NCT02625181. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02625181

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Real-time Decision Support for Postoperative Nausea and Vomiting (PONV) Prophylaxis
NCT number
NCT02625181
Status
Completed
Phases
Not applicable
Enrollment
27,034 participants, actual
Lead sponsor
Vanderbilt University
Conditions
Postoperative Nausea and Vomiting
Interventions
Automated recommendation at the start of the case, Automated notification at the start of surgery, Preoperative recommendations: by email, Automated notification at the end of surgery, Anesthesia Information Management System (AIMS), Perioperative Data Warehouse (PDW), General anesthesia, Elective surgery, Propofol, Sevoflurane, Isoflurane, Desflurane, Scopolamine, Droperidol, Haloperidol, Dexamethasone, Promethazine, Meclizine, Aprepitant, Metoclopramide, Fentanyl, Sufentanil, Alfentanil, Remifentanil, Morphine, Meperidine, Hydromorphone, Methadone, Oxycodone, Oxymorphone, Hydrocodone, Ketamine, Ondansetron, Granisetron, Dolasetron mesylate, Palonosetron, Tropisetron, Ramosetron
First posted
2015-12-09
Last updated
2019-03-07
Results first posted
2019-03-07
Limitations and caveats
We were unable to complete analysis of hyperlink data for PONV recommendations as planned because the data were not archived as intended. We were unable to include University of Washington as a collaborative site due to technical differences.

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAdherence to PONV GuidelinesA specific time frame on the day of surgery: the start of admission at the holding room to the end of the anesthetic casePONV guideline adherence: percentage of patients who received the exact number of prophylactic interventions for PONV that were recommended by the decision support.
SecondaryPONV Incidence: Number of Participants With Postoperative Nausea and VomitingPACU recovery periodThe occurrence of PONV, as defined by the administration of antiemetics in the PACU between admission to PACU and discharge from PACU.
SecondaryThe Number of Prophylactic Interventions for PONVA specific time frame on the day of surgery: from the start of admission at the holding room to the end of the anesthetic casethe absolute number of prophylactic interventions applied between the admission of the patient in the holding room until admission to the PACU.
SecondaryTime to Discharge From the Postanesthesia Care Unit (PACU)A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACUThis is the number of minutes from admission to the PACU until discharge, assessed up to 2 days

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAdherence to PONV GuidelinesA specific time frame on the day of surgery: the start of admission at the holding room to the end of the anesthetic caseParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPONV Incidence: Number of Participants With Postoperative Nausea and VomitingPACU recovery periodParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYThe Number of Prophylactic Interventions for PONVA specific time frame on the day of surgery: from the start of admission at the holding room to the end of the anesthetic caseprophylactic antiemetics administeredMEAN
SECONDARYTime to Discharge From the Postanesthesia Care Unit (PACU)A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACUminutesMEAN

Results by group12

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Adherence to PONV GuidelinesBaseline Measurement666Participants
Adherence to PONV GuidelinesCDS Email Recommendations5260Participants
Adherence to PONV GuidelinesCDS Email + Real TIme Recommenations5863Participants
PONV Incidence: Number of Participants With Postoperative Nausea and VomitingBaseline Measurement139Participants
PONV Incidence: Number of Participants With Postoperative Nausea and VomitingCDS Email Recommendations1323Participants
PONV Incidence: Number of Participants With Postoperative Nausea and VomitingCDS Email + Real TIme Recommenations1343Participants
The Number of Prophylactic Interventions for PONVBaseline Measurement2.196Standard Deviation 0.932prophylactic antiemetics administered
The Number of Prophylactic Interventions for PONVCDS Email Recommendations2.176Standard Deviation 0.988prophylactic antiemetics administered
The Number of Prophylactic Interventions for PONVCDS Email + Real TIme Recommenations2.129Standard Deviation 0.977prophylactic antiemetics administered
Time to Discharge From the Postanesthesia Care Unit (PACU)Baseline Measurement266Standard Deviation 374minutes

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBaseline Measurement1,518
Overall StudySTARTEDCDS Email Recommendations12,809
Overall StudySTARTEDCDS Email + Real TIme Recommenations12,707
Overall StudyCOMPLETEDBaseline Measurement1,518
Overall StudyCOMPLETEDCDS Email Recommendations12,809
Overall StudyCOMPLETEDCDS Email + Real TIme Recommenations12,707
Overall StudyNOT COMPLETEDBaseline Measurement0
Overall StudyNOT COMPLETEDCDS Email Recommendations0
Overall StudyNOT COMPLETEDCDS Email + Real TIme Recommenations0

Adverse events3

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousMortality - BaselineInvestigationsPONV Clinical Decision Support System71,5187
seriousMortality - CDS Email RecommendationsInvestigationsPONV Clinical Decision Support System4312,80943
seriousMortality - CDS Email + Real Time RecommendationsInvestigationsPONV Clinical Decision Support System4012,70740

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPONV Clinical Decision Support System9027,034
Total, other adverse eventsPONV Clinical Decision Support System027,034
Total, serious adverse eventsPONV Clinical Decision Support System9027,034

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02625181

GET https://conductscience.org/api/trials/v1/NCT02625181/registered