Investigation of inadvertent hypothermia incidence and risk factors
Fatma Vural , Buket Çelik , Zeynep Deveci , Kübra Yasak
Department of Surgical Nursing, Dokuz Eylül University School of Nursing, İzmir, Turkey
Keywords: Inadvertent hypothermia, Incidence, Risk factors, Operating room
Objective: This study was conducted to determine the incidence of inadvertent hypothermia in operative patients and the risk factors that are involved in the development of hypothermia.
Material and Methods: This prospective, descriptive, cross-sectional study was conducted from January 2016to August 2016 with 144 patients who over the age of 18 years, underwent general surgery, orthopedic surgery, urologic surgery, neurosurgery, and plastic and reconstructive surgery. Data was collected with the “Hypothermia Data Collection Form.” Body temperature was measured by the tympanic membrane in the waiting room, operating room, and PACU.
Results: Overall, 89% of the patients (n=129) were normothermic in the preoperative phase; 74.30% of the patients (n=107) in intraoperative phase and 75.70% of the patients (n=109) in postoperative phase were hypothermic. American Society of Anesthesiologist (ASA) score, preoperative body temperature, operating room temperature, and using heating method at operation were found to be effective in the development of inadvertent hypothermia during the operating period. It was determined that premedication, preoperative and postoperative body temperature, and the operating room temperature were effective for inadvertent hypothermia in the postoperative period.
Conclusion: As a result of the study, it was determined the rate of inadvertent hypothermia was high during and after surgery. Preoperative and intraoperative patient body temperature and operating room temperature were found to be effective in preventing inadvertent hypothermia.
This study was presented at the 15th Congress of Surgery Nursing, 13-17 April 2016, Antalya, Turkey.
Cite this paper as: Vural F, Çelik B, Deveci Z, Yasak K. Investigation of inadvertent hypothermia incidence and risk factors in operating on patients. Turk J Surg 2018; 34(4): 300-305.
Ethics committee approval was received for this study from the Ethics Committee of Dokuz Eylül University School of Medicine (2015/28-26 - 01.17.2015).
Written informed consent was obtained from patients who participated in this study.
Concept - F.V., Z.D.; Design - F.V., Z.D., B.Ç.; Supervision - F.V.; Resource - Z.D., B.Ç, K.Y.; Materials - Z.D., K.Y..; Data Collection and/or Processing - Z.D., B.Ç, K.Y.; Analysis and/or Interpretation - Z.D., K.Y.; Literature Search - B.Ç., Z.D.; Writing Manuscript - F.V., Z.D., B.Ç, K.Y.; Critical Reviews - F.V.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.