New-onset intra-operative hyperthermia in a large surgical patient population: A retrospective observational study.
Journal
European journal of anaesthesiology
ISSN: 1365-2346
Titre abrégé: Eur J Anaesthesiol
Pays: England
ID NLM: 8411711
Informations de publication
Date de publication:
01 May 2021
01 May 2021
Historique:
pubmed:
18
9
2020
medline:
28
4
2021
entrez:
17
9
2020
Statut:
ppublish
Résumé
Intra-operative hypothermia has been extensively investigated. However, the incidence of intra-operative hyperthermia has not been investigated in detail. The main objective of this study was to assess the incidence and risk factors of new-onset intra-operative hyperthermia in a large surgical patient population. Retrospective database review. Tertiary-care teaching hospital. Patients undergoing surgery with general anaesthesia between 1 January 2002 and 31 December 2017 were included. The primary outcome measurement was new-onset intra-operative hyperthermia (>37.5 °C). A logistic regression model was fitted to identify risk factors for intra-operative hyperthermia. A total of 103 648 patients were included in the final analyses. The incidence of new-onset hyperthermia in the overall patient cohort was 6.45%, reaching 20 to 30% after prolonged (>8 h) surgery, and was up to 26.5% in paediatric patients. The use of forced air active patient warming, larger amounts of fluid administration, longer surgery, younger age and smaller body size were all independently associated with intra-operative hyperthermia. The adoption of the Surgical Care Improvement Project (SCIP) temperature measures was associated with an increased incidence of intra-operative hyperthermia. Mild intra-operative hyperthermia is not uncommon particularly in longer procedures and small children.
Sections du résumé
BACKGROUND
BACKGROUND
Intra-operative hypothermia has been extensively investigated. However, the incidence of intra-operative hyperthermia has not been investigated in detail.
OBJECTIVE
OBJECTIVE
The main objective of this study was to assess the incidence and risk factors of new-onset intra-operative hyperthermia in a large surgical patient population.
DESIGN
METHODS
Retrospective database review.
SETTING
METHODS
Tertiary-care teaching hospital.
PATIENTS
METHODS
Patients undergoing surgery with general anaesthesia between 1 January 2002 and 31 December 2017 were included.
MAIN OUTCOME MEASURES
METHODS
The primary outcome measurement was new-onset intra-operative hyperthermia (>37.5 °C). A logistic regression model was fitted to identify risk factors for intra-operative hyperthermia.
RESULTS
RESULTS
A total of 103 648 patients were included in the final analyses. The incidence of new-onset hyperthermia in the overall patient cohort was 6.45%, reaching 20 to 30% after prolonged (>8 h) surgery, and was up to 26.5% in paediatric patients. The use of forced air active patient warming, larger amounts of fluid administration, longer surgery, younger age and smaller body size were all independently associated with intra-operative hyperthermia. The adoption of the Surgical Care Improvement Project (SCIP) temperature measures was associated with an increased incidence of intra-operative hyperthermia.
CONCLUSION
CONCLUSIONS
Mild intra-operative hyperthermia is not uncommon particularly in longer procedures and small children.
Identifiants
pubmed: 32941199
pii: 00003643-202105000-00006
doi: 10.1097/EJA.0000000000001322
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
487-493Informations de copyright
Copyright © 2020 European Society of Anaesthesiology and Intensive Care. Unauthorized reproduction of this article is prohibited.
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