PDF(Pubmed)
Abstract：
UNASSIGNED: Many patients who undergo major abdominal surgery experience inadvertent hypothermia during the perioperative period. This study aimed to identify risk factors related to postoperative hypothermia and their association with postoperative complications.
UNASSIGNED: This retrospective cohort study used data from Seoul National University Bundang Hospital, a tertiary university medical center in South Korea, between January 1, 2018 and December 31, 2022. We included patients aged ≥18 years who underwent elective major abdominal surgery for more than 2 hours in the operating room. The patients were categorized into the hypothermia (body temperature <36.5℃) and non-hypothermia (body temperature ≥36.5℃) groups.
UNASSIGNED: The study sample comprised 30,194 patients, and we classified 21,293 and 8,901 into the hypothermic and non-hypothermic groups, respectively. Some factors associated with the occurrence of postoperative hypothermia included the type of surgery. In the multivariable logistic regression model, the incidence of postoperative complications was 9% higher in the hypothermia group than in the non-hypothermic group (odds ratio [OR], 1.09; 95% confidence interval [CI], 1.01-1.19; P = 0.040). Among postoperative complications, the hypothermic group showed a 14% higher incidence of acute kidney injury (OR, 1.14; 95% CI, 1.04-1.25; P = 0.007) than the non-hypothermic group.
UNASSIGNED: The appearance of postoperative hypothermia during the first 30 minutes of the recovery period was significantly associated with the appearance of postoperative complications, especially acute kidney injury. However, further studies are required to validate these findings.
UNASSIGNED: This retrospective cohort study used data from Seoul National University Bundang Hospital, a tertiary university medical center in South Korea, between January 1, 2018 and December 31, 2022. We included patients aged ≥18 years who underwent elective major abdominal surgery for more than 2 hours in the operating room. The patients were categorized into the hypothermia (body temperature <36.5℃) and non-hypothermia (body temperature ≥36.5℃) groups.
UNASSIGNED: The study sample comprised 30,194 patients, and we classified 21,293 and 8,901 into the hypothermic and non-hypothermic groups, respectively. Some factors associated with the occurrence of postoperative hypothermia included the type of surgery. In the multivariable logistic regression model, the incidence of postoperative complications was 9% higher in the hypothermia group than in the non-hypothermic group (odds ratio [OR], 1.09; 95% confidence interval [CI], 1.01-1.19; P = 0.040). Among postoperative complications, the hypothermic group showed a 14% higher incidence of acute kidney injury (OR, 1.14; 95% CI, 1.04-1.25; P = 0.007) than the non-hypothermic group.
UNASSIGNED: The appearance of postoperative hypothermia during the first 30 minutes of the recovery period was significantly associated with the appearance of postoperative complications, especially acute kidney injury. However, further studies are required to validate these findings.
摘要：
■许多接受大腹部手术的患者在围手术期经历了无意的低体温。本研究旨在确定与术后低体温相关的危险因素及其与术后并发症的关系。
■这项回顾性队列研究使用了首尔国立大学Bundang医院的数据，韩国的一所大学医学中心，2018年1月1日至2022年12月31日。我们纳入了年龄≥18岁的患者，他们在手术室接受了2小时以上的选择性腹部大手术。将患者分为低温组(体温<36.5℃)和非低温组(体温≥36.5℃)。
■研究样本包括30,194名患者，我们将21,293和8,901分为低温和非低温组，分别。与术后低体温发生相关的一些因素包括手术类型。在多变量逻辑回归模型中，低体温组比非低体温组高9％（比值比[OR]，1.09；95%置信区间[CI]，1.01-1.19；P=0.040）。在术后并发症中，低体温组的急性肾损伤发生率高14%(OR，1.14；95%CI，1.04-1.25；P=0.007）比非低体温组。
■在恢复期的前30分钟内出现术后低体温与术后并发症的出现显着相关，尤其是急性肾损伤.然而,需要进一步的研究来验证这些发现.
■这项回顾性队列研究使用了首尔国立大学Bundang医院的数据，韩国的一所大学医学中心，2018年1月1日至2022年12月31日。我们纳入了年龄≥18岁的患者，他们在手术室接受了2小时以上的选择性腹部大手术。将患者分为低温组(体温<36.5℃)和非低温组(体温≥36.5℃)。
■研究样本包括30,194名患者，我们将21,293和8,901分为低温和非低温组，分别。与术后低体温发生相关的一些因素包括手术类型。在多变量逻辑回归模型中，低体温组比非低体温组高9％（比值比[OR]，1.09；95%置信区间[CI]，1.01-1.19；P=0.040）。在术后并发症中，低体温组的急性肾损伤发生率高14%(OR，1.14；95%CI，1.04-1.25；P=0.007）比非低体温组。
■在恢复期的前30分钟内出现术后低体温与术后并发症的出现显着相关，尤其是急性肾损伤.然而,需要进一步的研究来验证这些发现.
