Hipotermia posoperatoria en pacientes sometidos a cirugía abdominal mayor: un estudio de cohorte
DOI:
https://doi.org/10.17533/udea.iatreia.335Palabras clave:
Cirugía General, Factores de Riesgo, HipotermiaResumen
Introducción: hasta el 90 % de los pacientes intervenidos quirúrgicamente presentan hipotermia en el perioperatorio. No se ha reportado la aparición de hipotermia postoperatoria y variables asociadas a su a parición únicamente en pacientes sometidos a cirugía abdominal mayor.
Objetivo: describir la proporción de pacientes sometidos a cirugía abdominal mayor que desarrollan hipotermia posoperatoria y las variables asociadas a su ocurrencia.
Materiales y métodos: estudio de cohorte prospectivo en un hospital de referencia de tercer nivel en la Ciudad de México. Las variables asociadas con hipotermia postoperatoria se evaluaron mediante regresión logística.
Resultados: se incluyeron un total de 110 pacientes. De ellos, 61 % (n = 67) eran mujeres. La edad media fue de 56,7 años (DE: 16,3, rango: 75). La incidencia de hipotermia postoperatoria en pacientes sometidos a cirugía abdominal mayor fue del 57,3 %, mientras que la hipotermia preoperatoria e intraoperatoria se presentó en el 55,5 % y el 79,1 %, respectivamente. La edad mayor de 60 años fue la única variable asociada a hipotermia postoperatoria tras el ajuste multivariable por sexo, edad y tiempo de cirugía (OR=18,4; IC 95%:3,79-89,6; p<0,0001).
Conclusiones: solo la edad se asoció a la hipotermia postoperatoria en pacientes sometidos a cirugía mayor abdominal.
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