[Risk factors for postoperative hypothermia in the post-anesthetic care unit: a prospective prognostic pilot study].
Fatores de risco para hipotermia pós‐operatória em sala de recuperação pós‐anestésica: estudo piloto prospectivo de prognóstico.
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Anesthesia
/ adverse effects
Brazil
Cross-Sectional Studies
Female
Humans
Hypothermia
/ epidemiology
Length of Stay
Male
Middle Aged
Pilot Projects
Postoperative Care
/ methods
Postoperative Complications
/ epidemiology
Prevalence
Prognosis
Prospective Studies
Risk Factors
Young Adult
Anestesia
Anesthesia
Body temperature
Cuidados pós‐operatórios
Hipotermia
Hypothermia
Postoperative care
Temperatura corporal
Journal
Brazilian journal of anesthesiology (Elsevier)
ISSN: 2352-2291
Titre abrégé: Braz J Anesthesiol
Pays: Brazil
ID NLM: 101624623
Informations de publication
Date de publication:
Historique:
received:
06
12
2017
revised:
11
10
2018
accepted:
31
10
2018
pubmed:
28
1
2019
medline:
29
8
2019
entrez:
28
1
2019
Statut:
ppublish
Résumé
Hypothermia occurs in up to 20% of perioperative patients. Systematic postoperative temperature monitoring is not a standard of care in Brazil and there are few publications about temperature recovery in the postoperative care unit. Multicenter, observational, cross-sectional study, at Hospital de Base do Distrito Federal and Hospital Materno Infantil de Brasília. At admission and discharge from postoperative care unit, patients undergoing elective or urgent surgical procedures were evaluated according to tympanic temperature, vital signs, perioperative adverse events, and length of stay in postoperative care unit and length of hospital stay. 78 patients, from 18 to 85 years old, were assessed. The incidence of temperatures <36°C at postoperative care unit admission was 69.2%. Spinal anesthesia (p<0.0001), cesarean section (p=0.03), and patients who received morphine (p=0.005) and sufentanil (p=0.003) had significantly lower temperatures through time. During postoperative care unit stay, the elderly presented a greater tendency to hypothermia and lower recovery ability from this condition when compared to young patients (p<0.001). Combined anesthesia was also associated to higher rates of hypothermia, followed by regional and general anesthesia alone (p<0.001). In conclusion, this pilot study showed that perioperative hypothermia is still a prevalent problem in our anesthetic practice. More than half of the analyzed patients presented hypothermia through postoperative care unit admission. We have demonstrated the feasibility of a large, multicenter, cross-sectional study of postoperative hypothermia in the post-anesthetic care unit.
Sections du résumé
BACKGROUND
BACKGROUND
Hypothermia occurs in up to 20% of perioperative patients. Systematic postoperative temperature monitoring is not a standard of care in Brazil and there are few publications about temperature recovery in the postoperative care unit.
DESIGN AND SETTING
METHODS
Multicenter, observational, cross-sectional study, at Hospital de Base do Distrito Federal and Hospital Materno Infantil de Brasília.
METHODS
METHODS
At admission and discharge from postoperative care unit, patients undergoing elective or urgent surgical procedures were evaluated according to tympanic temperature, vital signs, perioperative adverse events, and length of stay in postoperative care unit and length of hospital stay.
RESULTS
RESULTS
78 patients, from 18 to 85 years old, were assessed. The incidence of temperatures <36°C at postoperative care unit admission was 69.2%. Spinal anesthesia (p<0.0001), cesarean section (p=0.03), and patients who received morphine (p=0.005) and sufentanil (p=0.003) had significantly lower temperatures through time. During postoperative care unit stay, the elderly presented a greater tendency to hypothermia and lower recovery ability from this condition when compared to young patients (p<0.001). Combined anesthesia was also associated to higher rates of hypothermia, followed by regional and general anesthesia alone (p<0.001).
CONCLUSION
CONCLUSIONS
In conclusion, this pilot study showed that perioperative hypothermia is still a prevalent problem in our anesthetic practice. More than half of the analyzed patients presented hypothermia through postoperative care unit admission. We have demonstrated the feasibility of a large, multicenter, cross-sectional study of postoperative hypothermia in the post-anesthetic care unit.
Identifiants
pubmed: 30685072
pii: S0034-7094(17)30640-2
doi: 10.1016/j.bjan.2018.10.001
pmc: PMC9391915
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
por
Sous-ensembles de citation
IM
Pagination
122-130Informations de copyright
Copyright © 2018 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.
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