Top

Published in:

11-05-2023 | Abdominal Surgery | Review Article

Risk Factors for Accidental Perioperative Hypothermia in Major Abdominal Surgery: a Systematic Review and Meta-analysis

Authors: Lupei Yan, Jingxing Tan, Yi Zhang, Yuerong Li

Published in: Indian Journal of Surgery | Issue 1/2024

Abstract

Accidental perioperative hypothermia is a common but preventable surgical complication. This study aimed to review the risk factors for hypothermia in major abdominal surgery patients. Databases (CINAIL via EBSCO, Embase, Ovid MEDLINE, and Cochrane Center Register of Controlled Trials) were searched from inception to September 27, 2022. Meta-analyses were performed to calculate the pooled effects of risk factors. The Newcastle-Ottawa Scale was used to assess the quality of studies, and heterogeneity was examined by I-square tests. A total of 12 studies were involved in this review. The meta-analysis showed that hypothermia had an association with ASA (OR 0.48, 95% CI 0.30–0.77), mode of warming (OR 10.48, 95% CI 2.23–49.28), mode of presentation (OR 45.50, 95% CI 11.55–179.35), and baseline temperature (OR 5.54, 95% CI 2.30–13.25). Healthcare professionals should pay more attention to patients with these risk factors mentioned and reduce the risk of hypothermia. Besides, more evidence supported by high-quality studies is needed to explore the powers of the risk factors of hypothermia.

Available only for authorised users

Collins S, Budds M, Raines C, Hooper V (2019) Risk factors for perioperative hypothermia: a literature review. J Perianesth Nurs 34:338–346. https://doi.org/10.1016/j.jopan.2018.06.003CrossRefPubMed

Emmert A, Gries G, Wand S et al (2018) Association between perioperative hypothermia and patient outcomes after thoracic surgery: a single center retrospective analysis. Medicine (Baltimore) 97:e0528. https://doi.org/10.1097/MD.0000000000010528CrossRefPubMed

da SF SRM, de FSF BI, CAA C et al (2019) Randomized clinical study comparing active heating methods for prevention of intraoperative hypothermia in gastroenterology. Rev Lat Am Enfermagem 27:e3103. https://doi.org/10.1590/1518-8345.2589.3103CrossRef

Gala T, Shahzad N, Edhi AI, Chawla TU (2020) Perioperative hypothermia in colorectal surgeries: are we doing enough to prevent it? J Pak Med Assoc 70:304–307. https://doi.org/10.5455/JPMA.294692CrossRefPubMed

Choi J-W, Kim D-K, Kim J-K et al (2018) A retrospective analysis on the relationship between intraoperative hypothermia and postoperative ileus after laparoscopic colorectal surgery. PLoS One 13:e0190711. https://doi.org/10.1371/journal.pone.0190711CrossRefPubMedPubMedCentral

Mason SE, Kinross JM, Hendricks J, Arulampalam TH (2017) Postoperative hypothermia and surgical site infection following peritoneal insufflation with warm, humidified carbon dioxide during laparoscopic colorectal surgery: a cohort study with cost-effectiveness analysis. Surg Endosc 31:1923–1929. https://doi.org/10.1007/s00464-016-5195-0CrossRefPubMed

Kim EJ, Yoon H (2014) Preoperative factors affecting the intraoperative core body temperature in abdominal surgery under general anesthesia: an observational cohort. Clin Nurse Spec 28:268–276. https://doi.org/10.1097/NUR.0000000000000069CrossRefPubMed

Miyazaki R, Hoka S (2019) What is the predictor of the intraoperative body temperature in abdominal surgery? J Anesth 33:67–73. https://doi.org/10.1007/s00540-018-2585-6CrossRefPubMed

Sagiroglu G, Ozturk GA, Baysal A, Turan FN (2020) Inadvertent perioperative hypothermia and important risk factors during major abdominal surgeries. J Coll Physicians Surg Pak 30:123–128. https://doi.org/10.29271/jcpsp.2020.02.123CrossRefPubMed

10.

Aksu Erdost H, Özkardeşler S, Değirmenci AK et al (2021) Intraoperative temperature monitoring with zero heat flux technology (3M SpotOn Sensor) in comparison with tympanic and oesophageal temperature and hypotermia risk factors: an observational study. Turk J Anaesthesiol Reanim 49:100–106. https://doi.org/10.5152/TJAR.2020.33CrossRefPubMed

11.

Miyazaki R, Hoka S, Yamaura K (2019) Visceral fat, but not subcutaneous fat, is associated with lower core temperature during laparoscopic surgery. PLoS One 14:e0218281. https://doi.org/10.1371/journal.pone.0218281CrossRefPubMedPubMedCentral

12.

Moher D, Shamseer L, Clarke M et al (2015) Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 4:1. https://doi.org/10.1186/2046-4053-4-1CrossRefPubMedPubMedCentral

13.

Probst P, Ohmann S, Klaiber U et al (2017) Meta-analysis of immunonutrition in major abdominal surgery. Br J Surg 104:1594–1608. https://doi.org/10.1002/bjs.10659CrossRefPubMed

14.

Heger P, Probst P, Wiskemann J et al (2020) A systematic review and meta-analysis of physical exercise prehabilitation in major abdominal surgery (PROSPERO 2017 CRD42017080366). J Gastrointest Surg 24:1375–1385. https://doi.org/10.1007/s11605-019-04287-wCrossRefPubMed

15.

Moons KGM, de Groot JAH, Bouwmeester W et al (2014) Critical appraisal and data extraction for systematic reviews of prediction modelling studies: the CHARMS checklist. PLoS Med 11:e1001744. https://doi.org/10.1371/journal.pmed.1001744CrossRefPubMedPubMedCentral

16.

Ottawa Hospital Research Institute. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. https://www.ohri.ca/programs/clinical_epidemiology/oxford.asp. Accessed 15 Jan 2023

17.

Kirthiga M, Murugan M, Saikia A, Kirubakaran R (2019) Risk factors for early childhood caries: a systematic review and meta-analysis of case control and cohort studies. Pediatr Dent 41:95–112PubMedPubMedCentral

18.

Fang C, Zhu T, Zhang P et al (2017) Risk factors of neurosurgical site infection after craniotomy: a systematic review and meta-analysis. Am J Infect Control 45:e123–e134. https://doi.org/10.1016/j.ajic.2017.06.009CrossRefPubMed

19.

Peng D, Cheng Y-X, Zhang W (2020) Does Roux-en-Y construction really bring benefit of type 2 diabetes mellitus remission after gastrectomy in patients with gastric cancer? A systematic review and meta-analysis. Diabetes Ther 11:2863–2872. https://doi.org/10.1007/s13300-020-00934-7CrossRefPubMedPubMedCentral

20.

Pu Y, Cen G, Sun J et al (2014) Warming with an underbody warming system reduces intraoperative hypothermia in patients undergoing laparoscopic gastrointestinal surgery: a randomized controlled study. Int J Nurs Stud 51:181–189. https://doi.org/10.1016/j.ijnurstu.2013.05.013CrossRefPubMed

21.

Kitamura A, Hoshino T, Kon T, Ogawa R (2000) Patients with diabetic neuropathy are at risk of a greater intraoperative reduction in core temperature. Anesthesiology 92:1311–1318. https://doi.org/10.1097/00000542-200005000-00019CrossRefPubMed

22.

Han SB, Gwak MS, Choi SJ et al (2014) Risk factors for inadvertent hypothermia during adult living-donor liver transplantation. Transplant Proc 46:705–708. https://doi.org/10.1016/j.transproceed.2013.11.091CrossRefPubMed

23.

Soysal GE, İlçe A, Erkol MH (2018) Effect of “an innovative technology” active warming and passive warming on unplanned hypothermia during perioperative period: a clinical trial. Ther Hypothermia Temp Manag 8:216–224. https://doi.org/10.1089/ther.2017.0048CrossRefPubMed

24.

Mehta OH, Barclay KL (2014) Perioperative hypothermia in patients undergoing major colorectal surgery. ANZ J Surg 84:550–555. https://doi.org/10.1111/ans.12369CrossRefPubMed

25.

Horn E-P, Bein B, Broch O et al (2016) Warming before and after epidural block before general anaesthesia for major abdominal surgery prevents perioperative hypothermia: a randomised controlled trial. Eur J Anaesthesiol 33:334–340. https://doi.org/10.1097/EJA.0000000000000369CrossRefPubMed

26.

De Cassai A, Boscolo A, Tonetti T et al (2019) Assignment of ASA-physical status relates to anesthesiologists’ experience: a survey-based national-study. Korean J Anesthesiol 72:53–59. https://doi.org/10.4097/kja.d.18.00224CrossRefPubMed

27.

Steelman VM, Chae S, Duff J et al (2018) Warming of irrigation fluids for prevention of perioperative hypothermia during arthroscopy: a systematic review and meta-analysis. Arthroscopy 34:930–942.e2. https://doi.org/10.1016/j.arthro.2017.09.024CrossRefPubMed

28.

Lee Y, Kim K (2021) Optimal application of forced air warming to prevent peri-operative hypothermia during abdominal surgery: a systematic review and meta-analysis. Int J Environ Res Public Health 18:2517. https://doi.org/10.3390/ijerph18052517CrossRefPubMedPubMedCentral

29.

Shaw CA, Steelman VM, DeBerg J, Schweizer ML (2017) Effectiveness of active and passive warming for the prevention of inadvertent hypothermia in patients receiving neuraxial anesthesia: a systematic review and meta-analysis of randomized controlled trials. J Clin Anesth 38:93–104. https://doi.org/10.1016/j.jclinane.2017.01.005CrossRefPubMedPubMedCentral

30.

Link T (2020) Guidelines in practice: hypothermia prevention. AORN J 111:653–666. https://doi.org/10.1002/aorn.13038CrossRefPubMed

31.

Goldstone RN, Steinhagen RM (2019) Abdominal emergencies in inflammatory bowel disease. Surg Clin North Am 99:1141–1150. https://doi.org/10.1016/j.suc.2019.08.007CrossRefPubMed

32.

Long B, Robertson J, Koyfman A (2019) Emergency medicine evaluation and management of small bowel obstruction: evidence-based recommendations. J Emerg Med 56:166–176. https://doi.org/10.1016/j.jemermed.2018.10.024CrossRefPubMed

33.

Yi J, Zhan L, Lei Y et al (2017) Establishment and validation of a prediction equation to estimate risk of intraoperative hypothermia in patients receiving general anesthesia. Sci Rep 7:13927. https://doi.org/10.1038/s41598-017-12997-xCrossRefPubMedPubMedCentral

34.

Chen Y-W, Ramsook AH, Coxson HO et al (2019) Prevalence and risk factors for osteoporosis in individuals with COPD: a systematic review and meta-analysis. Chest 156:1092–1110. https://doi.org/10.1016/j.chest.2019.06.036CrossRefPubMed

35.

Xu T, Monir MM, Lou X-Y et al (2020) Conditional and unconditional genome-wide association study reveal complicate genetic architecture of human body weight and impacts of smoking. Sci Rep 10:12136. https://doi.org/10.1038/s41598-020-68935-xCrossRefPubMedPubMedCentral

Title: Risk Factors for Accidental Perioperative Hypothermia in Major Abdominal Surgery: a Systematic Review and Meta-analysis
Authors: Lupei Yan
Jingxing Tan
Yi Zhang
Yuerong Li
Publication date: 11-05-2023
Publisher: Springer India
Keyword: Abdominal Surgery
Published in: Indian Journal of Surgery / Issue 1/2024
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-023-03766-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk Factors for Accidental Perioperative Hypothermia in Major Abdominal Surgery: a Systematic Review and Meta-analysis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2024

Obstructed Defecation Syndrome and Rectocele Repair Using Transperineal Bioabsorbable Mesh

Tumor Microenvironment: a Therapeutic Aid in Cancer

Characteristics of Regenerative Nodules and Their Relationship with Hepatocellular Carcinoma in Budd-Chiari Syndrome, and Role of Computed Tomography in Diagnosis and Follow-Up

Correlation Between Preoperative Ultrasonography and Parkland Grading Scale in Patients Undergoing Laparoscopic Cholecystectomy

Symptomatic Carotid Artery Pseudoaneurysm 28 Years After Neck Trauma

Our Experience—Design and Delivery of a Safe Trans Oral Robotic Programme in the National Health Service (NHS)