Inadvertent perioperative hypothermia and important risk factors during major abdominal surgeries
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Date
2020
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Publisher
College of Physicians and Surgeons Pakistan
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info:eu-repo/semantics/openAccess
Abstract
Objective: A relation between inadvertent perioperative hypothermia and possible important risk factors during major abdominal surgeries was investigated. Study Design: Cross-sectional descriptive study. Place and Duration of Study: Trakya University Hospital, Edirne, Turkey during 2016-2018. Methodology: Five hundred and twenty-nine patients undergoing major abdominal surgey were divided into two groups depending on postoperative body core temperature (CTM) by the use of tympanic membrane measurement. Patients with a temperature of less than 36oC indicated hypothermia group; whereas, patients with a temperature between 36 and 37.5oC indicated normothermia group. The parameters that were considered as risk factors for hypothermia include; baseline characteristics, American Society of Anesthesiologists (ASA) status, comorbidities, operative type, duration of surgery, patient and operative room temperatures, intraoperative hemodynamic parameters, transfusion of fluids and packed red blood cells (PRBCs), labaratory data, and adverse events. Correlation between these parameters and inadvertent hypothermia was sought. A p-value of less than 0.05 was considered statistically significant. Results: The risk factors that showed a correlation with hypothermia include: male gender, advanced age, high ASA scores, smoking, prolonged duration of operation, transfusion of fluids and PRBCs (p<0.05). In hypothermia group, duration of operation time was longer, need for transfusion was greater, hematocrit and hemoglobin values were lower than Normothermia Group of patients (p<0.05). Hypothermia was detected in 335 (63.3%) of patients. Conclusion: In this study, important risk factors for inadvertent hypothermia were found as; male gender, advanced age, high ASA scores, smoking, prolonged duration of operation, transfusion of fluids and/or PRBCs. © 2020 College of Physicians and Surgeons Pakistan. All rights reserved.
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Keywords
Body Temperature; General Anesthesia; Hypothermia, Hemoglobin; Abdominal Surgery; Adult; Adverse Event; Age; Aged; American Society Of Anesthesiologists Criteria; Article; Blood Transfusion; Body Temperature; Comorbidity; Controlled Study; Correlation Analysis; Cross-Sectional Study; Descriptive Research; Disease Classification; Eardrum; Environmental Temperature; Erythrocyte Transfusion; Female; Gender; Hematocrit; Hemodynamics; Hemoglobin Blood Level; Human; Hypothermia; Laboratory Test; Major Clinical Study; Major Surgery; Male; Operation Duration; Peroperative Complication; Postoperative Period; Risk Factor; Smoking; Surgical Technique; Turkey (Republic); University Hospital; Arterial Gas; Core Temperature; Diuresis; General Surgery; Gynecologic Surgery; Hemodynamic Parameters; Hypothermia; Perioperative Period; Risk Factor; Sex Difference; Urologic Surgery; Abdomen; Hypothermia; Incidence; Middle Aged; Pathophysiology; Perioperative Period; Physiology; Procedures; Retrospective Study; Surgery; Turkey (Bird); Very Elderly; Young Adult; Abdomen; Adult; Aged; Aged, 80 And Over; Body Temperature; Cross-Sectional Studies; Female; Humans; Hypothermia; Incidence; Male; Middle Aged; Perioperative Period; Retrospective Studies; Risk Factors; Surgical Procedures, Operative; Turkey; Young Adult
Journal or Series
Journal of the College of Physicians and Surgeons Pakistan
WoS Q Value
Scopus Q Value
Q3
Volume
30
Issue
2
