PT - JOURNAL ARTICLE AU - Wang, Rui AU - Song, Xuesong AU - Chen, Yan AU - Wang, Na AU - Wang, Jinguo TI - Comparison of ondansetron and tropisetron in preventing postoperative nausea and vomiting AID - 10.15537/smj.2021.42.7.20210135 DP - 2021 Jul 01 TA - Saudi Medical Journal PG - 707--713 VI - 42 IP - 7 4099 - http://smj.org.sa/content/42/7/707.short 4100 - http://smj.org.sa/content/42/7/707.full SO - Saudi Med J2021 Jul 01; 42 AB - Objectives: To compare the efficacy of prophylactic ondansetron and tropisetron for postoperative nausea and vomiting (PONV).Methods: A literature search was performed to identify studies that compare the efficiency of ondansetron with that of tropisetron in preventing PONV. Only randomized controlled trials updated to January, 2021 were included.Results: The final pooled analysis included 14 studies totaling 1705 patients and indicated that ondansetron was 39% less effective than tropisetron in preventing postoperative vomiting with a higher incidence of dizziness. However, no significant difference was detected between ondansetron and tropisetron in PONV, postoperative nausea, antiemetic treatment, and headache.Conclusions: Tropisetron is superior to ondansetron in preventing postoperative vomiting.PROSPERO No: CRD42021237368