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
Castiron应助轻松的雨竹采纳,获得20
2秒前
3秒前
3秒前
3秒前
4秒前
4秒前
4秒前
陈一一完成签到 ,获得积分10
4秒前
mmgf完成签到,获得积分10
5秒前
欢呼煎蛋发布了新的文献求助10
5秒前
5秒前
6秒前
剑舞人间发布了新的文献求助30
6秒前
6秒前
小蘑菇应助dracovu采纳,获得10
7秒前
李辉发布了新的文献求助10
8秒前
misshe发布了新的文献求助10
9秒前
懒得起名发布了新的文献求助10
9秒前
大力的诗蕾完成签到,获得积分10
9秒前
香蕉招牌发布了新的文献求助20
9秒前
欢呼煎蛋完成签到,获得积分10
10秒前
10秒前
doby发布了新的文献求助10
10秒前
lofads完成签到,获得积分10
10秒前
Carlos发布了新的文献求助50
10秒前
不倦应助guugen采纳,获得10
11秒前
syy完成签到,获得积分10
12秒前
3301发布了新的文献求助10
13秒前
13秒前
长情的不言完成签到,获得积分10
14秒前
14秒前
15秒前
Lucas应助呆萌的太阳采纳,获得10
15秒前
doby完成签到,获得积分10
16秒前
16秒前
研友_菲完成签到,获得积分10
16秒前
16秒前
Leach完成签到 ,获得积分10
17秒前
Kalimba完成签到,获得积分10
17秒前
李辉完成签到,获得积分10
17秒前
高分求助中
Comparative Anatomy of the Vertebrates 9th 3000
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
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 3571929
求助须知:如何正确求助?哪些是违规求助? 3142327
关于积分的说明 9446826
捐赠科研通 2843700
什么是DOI,文献DOI怎么找? 1563001
邀请新用户注册赠送积分活动 731530
科研通“疑难数据库(出版商)”最低求助积分说明 718557