PDF(Pubmed)
Abstract：
UNASSIGNED: Effective body temperature management is crucial for the favorable prognosis of patients undergoing surgery. The purpose of this study is to explore the risk factors of intraoperative hypothermia and to develop a risk prediction model to provide basis for clinical treatment.
UNASSIGNED: Patients who underwent laparoscopic surgery in a tertiary hospital in China from February 1, 2023 to January 31, 2024 were included. The body temperature characteristics of patients in hypothermia group and non-hypothermia group were collected and evaluated. Univariate and Logistic regression analysis were used to evaluate the influencing factors. Based on the regression coefficients of risk factors, a risk prediction model of hypothermia was established. The model was assessed by Hosmer\'s Lemeshow (H- L) test and receiver working characteristic (ROC) curve.
UNASSIGNED: In 216 patients undergoing laparoscopic surgery, the incidence of hypothermia was 52.78 %. BMI≤23 kg/m2(OR = 2.061, 95%CI: 1.413-3.263), basal body temperature≤36.1 °C (OR = 3.715, 95%CI: 3.011-4.335), operating room temperature≤22 °C (OR = 2.481, 95%CI: 1.906-3.014), length of surgery≥120 min (OR = 2.228, 95%CI: 1.925-2.981) were the risk factors of hypothermia in patients undergoing laparoscopic surgery (all P < 0.05). The P value of H-L test was 0.098, the area under ROC curve and 95%CI were 0.806 (0.746-0.869). The sensitivity and specificity of the model in this study were good.
UNASSIGNED: Patients undergoing laparoscopic surgery are at a high risk of developing hypothermia, a condition influenced by a multitude of factors. This model is designed to be integrated into clinical practice, enabling healthcare providers to identify patients with a higher risk and to implement targeted preventive measures.
UNASSIGNED: Patients who underwent laparoscopic surgery in a tertiary hospital in China from February 1, 2023 to January 31, 2024 were included. The body temperature characteristics of patients in hypothermia group and non-hypothermia group were collected and evaluated. Univariate and Logistic regression analysis were used to evaluate the influencing factors. Based on the regression coefficients of risk factors, a risk prediction model of hypothermia was established. The model was assessed by Hosmer\'s Lemeshow (H- L) test and receiver working characteristic (ROC) curve.
UNASSIGNED: In 216 patients undergoing laparoscopic surgery, the incidence of hypothermia was 52.78 %. BMI≤23 kg/m2(OR = 2.061, 95%CI: 1.413-3.263), basal body temperature≤36.1 °C (OR = 3.715, 95%CI: 3.011-4.335), operating room temperature≤22 °C (OR = 2.481, 95%CI: 1.906-3.014), length of surgery≥120 min (OR = 2.228, 95%CI: 1.925-2.981) were the risk factors of hypothermia in patients undergoing laparoscopic surgery (all P < 0.05). The P value of H-L test was 0.098, the area under ROC curve and 95%CI were 0.806 (0.746-0.869). The sensitivity and specificity of the model in this study were good.
UNASSIGNED: Patients undergoing laparoscopic surgery are at a high risk of developing hypothermia, a condition influenced by a multitude of factors. This model is designed to be integrated into clinical practice, enabling healthcare providers to identify patients with a higher risk and to implement targeted preventive measures.
摘要：
■有效的体温管理对于手术患者的良好预后至关重要。目的探讨术中低体温的危险因素,建立风险预测模型,为临床治疗提供依据。
■纳入了2023年2月1日至2024年1月31日在中国一家三级医院接受腹腔镜手术的患者。收集并评价低温组和非低温组患者的体温特征。采用单因素和Logistic回归分析评价影响因素。根据风险因素的回归系数，建立了低体温风险预测模型。通过HosmerLemeshow（H-L）测试和受试者工作特征（ROC）曲线评估模型。
■在接受腹腔镜手术的216名患者中，低体温发生率为52.78%。BMI≤23kg/m2（OR=2.061，95CI：1.413-3.263），基础体温≤36.1°C（OR=3.715，95CI：3.011-4.335），手术室温度≤22°C（OR=2.481，95CI：1.906-3.014），手术时间≥120min(OR=2.228,95CI:1.925~2.981)是腹腔镜手术患者低体温的危险因素(均P<0.05)。H-L检验P值为0.098,ROC曲线下面积和95CI为0.806(0.746～0.869)。本研究模型的敏感性和特异性良好。
■接受腹腔镜手术的患者发生体温过低的风险很高，受多种因素影响的状况。该模型旨在融入临床实践，使医疗保健提供者能够识别风险较高的患者并实施有针对性的预防措施。
■纳入了2023年2月1日至2024年1月31日在中国一家三级医院接受腹腔镜手术的患者。收集并评价低温组和非低温组患者的体温特征。采用单因素和Logistic回归分析评价影响因素。根据风险因素的回归系数，建立了低体温风险预测模型。通过HosmerLemeshow（H-L）测试和受试者工作特征（ROC）曲线评估模型。
■在接受腹腔镜手术的216名患者中，低体温发生率为52.78%。BMI≤23kg/m2（OR=2.061，95CI：1.413-3.263），基础体温≤36.1°C（OR=3.715，95CI：3.011-4.335），手术室温度≤22°C（OR=2.481，95CI：1.906-3.014），手术时间≥120min(OR=2.228,95CI:1.925~2.981)是腹腔镜手术患者低体温的危险因素(均P<0.05)。H-L检验P值为0.098,ROC曲线下面积和95CI为0.806(0.746～0.869)。本研究模型的敏感性和特异性良好。
■接受腹腔镜手术的患者发生体温过低的风险很高，受多种因素影响的状况。该模型旨在融入临床实践，使医疗保健提供者能够识别风险较高的患者并实施有针对性的预防措施。
