A Systematic Review and Meta-Analysis of Risk Factors for Unplanned Intraoperative Hypothermia Among Adult Surgical Patients

医学 荟萃分析 围手术期 优势比 体温过低 血压 置信区间 梅德林 内科学 麻醉 外科 政治学 法学
作者
Jia Pu,Wen-jun Zhao,Xiaofang Xie,Huaping Huang
出处
期刊:Journal of PeriAnesthesia Nursing [Elsevier]
卷期号:37 (3): 333-338 被引量:9
标识
DOI:10.1016/j.jopan.2021.08.013
摘要

Unplanned intraoperative hypothermia (UIH) is a frequent but preventable complication of surgery. Accurate identification of UIH risk factors allows nurses to minimize its negative outcomes. This study aimed to investigate the risk factors for UIH in adult surgical patients.Systematic review and meta-analysis METHODS: We comprehensively searched PubMed, Cochrane Central Register of Controlled Trials, Web of Science, Ovid Embase, and ClinicalTrials.gov from their inception until December 31, 2020 to identify available, related studies in English. Two authors independently extracted data from these studies. Data analysis was performed using Review Manager Version 5.3.This meta-analysis included 12 studies involving 15,010 patients. The combined results showed that age [mean difference (MD) = 4.85, P < .0001; I2 = 94%], body mass index (MD = - 0.76, P = .001; I2 = 59%), ambient temperature [odds ratio (OR) = 0.82, P < .001; I2 = 54%], preoperative systolic blood pressure (MD = -14.68, P < .00001; I2 = 30%), preoperative heart rate (MD = - 13.25, P < .00001; I2 = 0%), duration of anesthesia (>2 h; OR = 2.67, P < .001; I2 = 0%), and intravenous fluid administration >1,000 mL (OR = 2.02, P = .01; I2 = 77%) were significantly associated with a higher risk of UIH.Our study demonstrated that various risk factors contribute to the development of UIH. Perioperative nurses should understand these risk factors in order to apply evidence-based procedures and improve patient outcomes. Due to the substantial clinical heterogeneity across studies, further studies are needed to verify these findings.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
田野的小家庭完成签到 ,获得积分10
1秒前
1秒前
Kamelia发布了新的文献求助10
1秒前
灵巧的十八完成签到 ,获得积分10
2秒前
小炮仗完成签到 ,获得积分10
4秒前
雨落发布了新的文献求助10
6秒前
抽烟不完成签到 ,获得积分10
6秒前
7秒前
9秒前
10秒前
干净鬼神发布了新的文献求助10
12秒前
Malmever完成签到,获得积分10
15秒前
李健的粉丝团团长应助lrj采纳,获得10
15秒前
缓慢的蘑菇完成签到 ,获得积分10
18秒前
华仔应助Kamelia采纳,获得10
20秒前
ablesic.rong完成签到,获得积分10
20秒前
去码头整点薯条完成签到,获得积分10
21秒前
深情安青应助雨落采纳,获得10
23秒前
24秒前
25秒前
Orange应助ablesic.rong采纳,获得10
25秒前
Mark完成签到 ,获得积分10
26秒前
27秒前
klyy516发布了新的文献求助10
28秒前
lrj发布了新的文献求助10
29秒前
小葛完成签到,获得积分10
30秒前
斯文慕山发布了新的文献求助30
31秒前
li发布了新的文献求助10
32秒前
zjsu_zpz完成签到,获得积分20
36秒前
39秒前
小小朝完成签到,获得积分10
39秒前
交通小白发布了新的文献求助10
39秒前
小二郎应助十月采纳,获得10
40秒前
科目三应助li采纳,获得10
40秒前
orixero应助lrj采纳,获得10
41秒前
乐乐应助escapeace采纳,获得30
41秒前
42秒前
科研通AI5应助山海采纳,获得10
44秒前
霸气大米完成签到 ,获得积分10
44秒前
44秒前
高分求助中
Continuum Thermodynamics and Material Modelling 3000
Production Logging: Theoretical and Interpretive Elements 2700
Les Mantodea de Guyane Insecta, Polyneoptera 1000
Structural Load Modelling and Combination for Performance and Safety Evaluation 1000
Conference Record, IAS Annual Meeting 1977 820
England and the Discovery of America, 1481-1620 600
電気学会論文誌D(産業応用部門誌), 141 巻, 11 号 510
热门求助领域 (近24小时)
化学 材料科学 生物 医学 工程类 有机化学 生物化学 物理 纳米技术 计算机科学 内科学 化学工程 复合材料 基因 遗传学 物理化学 催化作用 量子力学 光电子学 冶金
热门帖子
关注 科研通微信公众号,转发送积分 3572296
求助须知:如何正确求助?哪些是违规求助? 3142501
关于积分的说明 9448015
捐赠科研通 2843973
什么是DOI,文献DOI怎么找? 1563103
邀请新用户注册赠送积分活动 731630
科研通“疑难数据库(出版商)”最低求助积分说明 718640