Postoperative Hypothermia in Patients Undergoing Major Abdominal Surgery: A Cohort Study
DOI:
https://doi.org/10.17533/udea.iatreia.335Keywords:
General Surgery, Hypothermia, Risk FactorsAbstract
Introduction: Up to 90% of patients undergoing surgery experience hypothermia during the perioperative period. However, no studies have reported the occurrence of postoperative hypothermia or the variables associated with its development exclusively in patients undergoing major abdominal surgery.
Objective: To describe the proportion of patients undergoing major abdominal surgery who develop postoperative hypothermia and the variables associated with its occurrence.
Materials and Methods: A prospective cohort study was conducted in a tertiary care referral hospital in Mexico City to describe the incidence of perioperative hypothermia and the factors associated with postoperative hypothermia. Potential variables associated with hypothermia were evaluated using logistic regression analysis.
Results: A total of 110 patients were included in the analysis; among them, 61% (n = 67) were women. The mean age was 56.7 years (SD: 16.3). The incidence of postoperative hypothermia in patients undergoing major abdominal surgery was 57.3%, while preoperative and intraoperative hypothermia occurred in 55.5% and 79.1%, respectively. Age over 60 years was the only variable associated with postoperative hypothermia after multivariable adjustment for sex, age, and surgery time (OR = 18.4; 95% CI: 3.79–89.6; p < 0.0001).
Conclusion: Increased age was the only variable associated with postoperative hypothermia in patients undergoing major abdominal surgery.
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