The impact of perioperative hypothermia on plastic surgery outcomes: a multivariate logistic regression of 1062 cases
| Autor: | Katie Ellen Davis, Ryan S. Constantine, Jeffrey M. Kenkel, Rachel E. Hein, Roberto Cortez, Kendall Anigian, Matthew Kenkel |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Operative Time Cosmetic Techniques Hypothermia Logistic regression Risk Assessment Severity of Illness Index Young Adult Risk Factors medicine Odds Ratio Humans Surgical Wound Infection Perioperative Period Aged Retrospective Studies Aged 80 and over Academic Medical Centers Wound Healing business.industry Postoperative complication General Medicine Odds ratio Perioperative Middle Aged Plastic Surgery Procedures medicine.disease Surgery Plastic surgery Logistic Models Treatment Outcome Seroma Anesthesia Body contouring Multivariate Analysis Female medicine.symptom business Body Temperature Regulation |
| Zdroj: | Aesthetic surgery journal. 35(1) |
| ISSN: | 1527-330X |
| Popis: | Background Perioperative hypothermia has been associated with increased rates of infection, prolonged recovery time, and coagulopathy. Objectives The authors assessed the impact of hypothermia on patient outcomes after plastic surgery and analyzed the impact of prewarming on postoperative outcomes. Methods The medical charts of 1062 patients who underwent complex plastic surgery typically lasting at least 1 hour were reviewed. Hypothermia was defined as a temperature at or below 36°C. Postoperative complication data were collected for outcomes including infection, delayed wound healing, seroma, hematoma, dehiscence, deep venous thrombosis, and overall wound problems. Odds ratios (ORs) were estimated from 3 multivariate logistic regression models of hypothermia and one model of body contouring procedures that included prewarming as a parameter. Results Perioperative hypothermia was not a significant predictor of wound problems (OR = 0.83; P = .28). In the stratified regression model, hypothermia did not significantly impact wound problems. The regression model measuring the interaction between hypothermia and operating time did not show a significantly increased risk of wound problems. Prewarming did not significantly affect perioperative hypothermia ( P = .510), and in the model of body contouring procedures with prewarming as a categorical variable, massive weight loss was the most significant predictor of wound complications (OR = 2.57; P = .003). Prewarming did not significantly affect outcomes (OR = 1.49; P = .212). Conclusions Based on univariate and multivariate models in our study, mild perioperative hypothermia appears to be independent of wound complications. Level of Evidence: 4 ![Graphic][1] Risk [1]: /embed/inline-graphic-1.gif |
| Databáze: | OpenAIRE |
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