IR@PKUHSC  > 北京大学首钢医院
学科主题临床医学
Incidence of Inadvertent Intraoperative Hypothermia and Its Risk Factors in Patients Undergoing General Anesthesia in Beijing: A Prospective Regional Survey
Yi, Jie1; Xiang, Ziyong2; Deng, Xiaoming3; Fan, Ting4; Fu, Runqiao5; Geng, Wanming6; Guo, Ruihong7; He, Nong8; Li, Chenghui9; Li, Lei10; Li, Min11; Li, Tianzuo12; Tian, Ming13; Wang, Geng14; Wang, Lei15; Wang, Tianlong16; Wu, Anshi17; Wu, Di18; Xue, Xiaodong19; Xu, Mingjun20; Yang, Xiaoming19; Yang, Zhanmin21; Yuan, Jianhu22; Zhao, Qiuhua23; Zhou, Guoqing24; Zuo, Mingzhang25; Pan, Shuang2; Zhan, Lujing2; Yao, Min2; Huang, Yuguang1
刊名PLOS ONE
2015-09-11
DOI10.1371/journal.pone.0136136
10期:9
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Multidisciplinary Sciences
资助者China National Health and Planned Parenthood Committee Health Quality Improvement Award ; China National Nature Science Foundation ; unrestricted research grant from 3M China ; China National Health and Planned Parenthood Committee Health Quality Improvement Award ; China National Nature Science Foundation ; unrestricted research grant from 3M China
研究领域[WOS]Science & Technology - Other Topics
关键词[WOS]TOTAL HIP-ARTHROPLASTY ; INTENSIVE-CARE-UNIT ; POSTOPERATIVE HYPOTHERMIA ; PERIOPERATIVE NORMOTHERMIA ; INTRAVENOUS-INFUSION ; WOUND-INFECTION ; BLOOD-LOSS ; FLUID ; IMPLEMENTATION ; MORBIDITY
英文摘要

Background/Objective

Inadvertent intraoperative hypothermia (core temperature <36 degrees C) is a recognized risk in surgery and has adverse consequences. However, no data about this complication in China are available. Our study aimed to determine the incidence of inadvertent intraoperative hypothermia and its associated risk factors in a sample of Chinese patients.

Methods

We conducted a regional cross-sectional survey in Beijing from August through December, 2013. Eight hundred thirty patients who underwent various operations under general anesthesia were randomly selected from 24 hospitals through a multistage probability sampling. Multivariate logistic regression analyses were applied to explore the risk factors of developing hypothermia.

Results

The overall incidence of intraoperative hypothermia was high, 39.9%. All patients were warmed passively with surgical sheets or cotton blankets, whereas only 10.7% of patients received active warming with space heaters or electric blankets. Pre-warmed intravenous fluid were administered to 16.9% of patients, and 34.6% of patients had irrigation of wounds with pre-warmed fluid. Active warming (OR = 0.46, 95% CI 0.26-0.81), overweight or obesity (OR = 0.39, 95% CI 0.28-0.56), high baseline core temperature before anesthesia (OR = 0.08, 95% CI 0.04-0.13), and high ambient temperature (OR = 0.89, 95% CI 0.79-0.98) were significant protective factors for hypothermia. In contrast, major-plus operations (OR = 2.00, 95% CI 1.32-3.04), duration of anesthesia (1-2 h) (OR = 3.23, 95% CI 2.19-4.78) and >2 h (OR = 3.44, 95% CI 1.90-6.22,), and intravenous un-warmed fluid (OR = 2.45, 95% CI 1.45-4.12) significantly increased the risk of hypothermia.

Conclusions

The incidence of inadvertent intraoperative hypothermia in Beijing is high, and the rate of active warming of patients during operation is low. Concern for the development of intraoperative hypothermia should be especially high in patients undergoing major operations, requiring long periods of anesthesia, and receiving un-warmed intravenous fluids.

语种英语
所属项目编号201402017 ; 31070930 ; MDI0077
资助者China National Health and Planned Parenthood Committee Health Quality Improvement Award ; China National Nature Science Foundation ; unrestricted research grant from 3M China ; China National Health and Planned Parenthood Committee Health Quality Improvement Award ; China National Nature Science Foundation ; unrestricted research grant from 3M China
WOS记录号WOS:000361043100009
Citation statistics
Cited Times:4[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/61231
Collection北京大学首钢医院
作者单位1.China Meitan Gen Hosp, Beijing, Peoples R China
2.Peking Univ, Hosp 3, Beijing 100871, Peoples R China
3.Beijing Jishuitan Hosp, Beijing, Peoples R China
4.Haidian Maternal & Child Hlth Hosp, Beijing, Peoples R China
5.Capital Med Univ, Xuanwu Hosp, Beijing, Peoples R China
6.Beijing Chao Yang Hosp, Beijing, Peoples R China
7.PLA, Air Force Gen Hosp, Beijing, Peoples R China
8.China Aerosp Corp, Cent Hosp, Beijing, Peoples R China
9.Beijing Rectum Hosp, Beijing, Peoples R China
10.Beijing Shi Jing Shan Hosp, Beijing, Peoples R China
11.Beijing Pinggu Hosp, Beijing, Peoples R China
12.Minist Hlth, Beijing Hosp, Beijing, Peoples R China
13.Miyunxian Hosp, Beijing, Peoples R China
14.Peking Univ, Shougang Hosp, Beijing 100871, Peoples R China
15.China Japan Friendship Hosp, Beijing, Peoples R China
16.3M China R&D Ctr, Shanghai, Peoples R China
17.Tsinghua Univ, Yuquan Hosp, Beijing 100084, Peoples R China
18.Beijing Chuiyangliu Hosp, Beijing, Peoples R China
19.Beijing Union Med Coll Hosp, Beijing, Peoples R China
20.PUMC, CAMS, Plast Surg Hosp & Inst, Beijing, Peoples R China
21.Capital Med Univ, Beijing Chest Hosp, Beijing, Peoples R China
22.Capital Med Univ, Beijing Tongren Hosp, Beijing, Peoples R China
23.Capital Med Univ, Beijing Friendship Hosp, Beijing, Peoples R China
24.Capital Med Univ, Luhe Teaching Hosp, Beijing, Peoples R China
25.Capital Med Univ, Beijing Obstet & Gynecol Hosp, Beijing, Peoples R China
Recommended Citation
GB/T 7714
Yi, Jie,Xiang, Ziyong,Deng, Xiaoming,et al. Incidence of Inadvertent Intraoperative Hypothermia and Its Risk Factors in Patients Undergoing General Anesthesia in Beijing: A Prospective Regional Survey[J]. PLOS ONE,2015,10(9).
APA Yi, Jie.,Xiang, Ziyong.,Deng, Xiaoming.,Fan, Ting.,Fu, Runqiao.,...&Huang, Yuguang.(2015).Incidence of Inadvertent Intraoperative Hypothermia and Its Risk Factors in Patients Undergoing General Anesthesia in Beijing: A Prospective Regional Survey.PLOS ONE,10(9).
MLA Yi, Jie,et al."Incidence of Inadvertent Intraoperative Hypothermia and Its Risk Factors in Patients Undergoing General Anesthesia in Beijing: A Prospective Regional Survey".PLOS ONE 10.9(2015).
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