Risk factors for inadvertent intraoperative hypothermia in patients undergoing laparoscopic surgery: A prospective cohort study

Autor: Rong Yang, Hang-Zhou Wu, Yi-Xia Zhu, Huai-Ying Chen, Li-Jing Su, Hong Zou
Rok vydání: 2021
Předmět:
Male
Laparoscopic surgery
Physiology
Epidemiology
medicine.medical_treatment
Hypothermia
Body Mass Index
Body Temperature
Risk Factors
Anesthesiology
Medicine and Health Sciences
Anesthesia
Prospective Studies
Intraoperative Complications
Prospective cohort study
Laparoscopy
Multidisciplinary
medicine.diagnostic_test
Pharmaceutics
Incidence
Incidence (epidemiology)
Middle Aged
Chemistry
Physiological Parameters
Abdominal Surgery
Physical Sciences
Medicine
Female
medicine.symptom
Research Article
Adult
Science
Surgical and Invasive Medical Procedures
Signs and Symptoms
Drug Therapy
medicine
Humans
business.industry
Proportional hazards model
Chemical Compounds
Biology and Life Sciences
Carbon Dioxide
Logistic Models
Intravenous anesthesia
Medical Risk Factors
Clinical Medicine
business
Abdominal surgery
Zdroj: PLoS ONE, Vol 16, Iss 9, p e0257816 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: Background Inadvertent intraoperative hypothermia is frequent during open surgeries; however, few studies on hypothermia during laparoscopic abdominal surgery have been reported. We aimed to investigate the incidence and risk factors for hypothermia in patients undergoing laparoscopic abdominal surgery. Methods This single-center prospective cohort observational study involved patients undergoing laparoscopic surgery between October 2018 and June 2019. Data on core body temperature and potential variables were collected. A multivariate logistic regression analysis was performed to identify the risk factors associated with hypothermia. A Cox regression analysis was used to verify the sensitivity of the results. Results In total, 690 patients were included in the analysis, of whom 200 (29.0%, 95% CI: 26%−32%) had a core temperature < 36°C. The core temperature decreased over time, and the incident hypothermia increased gradually. In the multivariate logistic regression analysis, age (OR = 1.017, 95% CI: 1.000–1.034, P = 0.050), BMI (OR = 0.938, 95% CI: 0.880–1.000; P = 0.049), baseline body temperature (OR = 0.025, 95% CI: 0.010–0.060; P < 0.001), volume of irrigation fluids (OR = 1.001, 95% CI: 1.000–1.001, P = 0.001), volume of urine (OR = 1.001, 95% CI: 1.000–1.003, P = 0.070), and duration of surgery (OR = 1.010, 95% CI: 1.006–1.015, P < 0.001) were significantly associated with hypothermia. In the Cox analysis, variables in the final model were age, BMI, baseline body temperature, volume of irrigation fluids, blood loss, and duration of surgery. Conclusions Inadvertent intraoperative hypothermia is evident in patients undergoing laparoscopic surgeries. Age, BMI, baseline body temperature, volume of irrigation fluids, and duration of surgery are significantly associated with intraoperative hypothermia.
Databáze: OpenAIRE
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