Incidence and Risk Factors for Postoperative Hypothermia After Orthopaedic Surgery
INTRODUCTION:Postoperative hypothermia is a common complication of orthopaedic surgery associated with increased morbidity. We identified the incidence and risk factors for postoperative hypothermia across orthopaedic surgical procedures. METHODS:A total of 3,822 procedures were reviewed. Hypothermi...
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| Veröffentlicht in: | Journal of the American Academy of Orthopaedic Surgeons 2018-12, Vol.26 (24), p.e497-e503 |
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| container_issue | 24 |
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| container_title | Journal of the American Academy of Orthopaedic Surgeons |
| container_volume | 26 |
| creator | Kleimeyer, John P. Harris, Alex H. S. Sanford, Joseph Maloney, William J. Kadry, Bassam Bishop, Julius A. |
| description | INTRODUCTION:Postoperative hypothermia is a common complication of orthopaedic surgery associated with increased morbidity. We identified the incidence and risk factors for postoperative hypothermia across orthopaedic surgical procedures.
METHODS:A total of 3,822 procedures were reviewed. Hypothermia was defined as temperature |
| doi_str_mv | 10.5435/JAAOS-D-16-00742 |
| format | Article |
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METHODS:A total of 3,822 procedures were reviewed. Hypothermia was defined as temperature <36.0°C. Incidences were calculated and associated risk factors were evaluated by mixed-effects regression analyses.
RESULTS:Hypothermia was observed in 72.5% of patients intraoperatively and 8.3% postoperatively. Risk factors for postoperative hypothermia included intraoperative hypothermia (odds ratio [OR], 2.72), lower preoperative temperature (OR, 1.46), female sex (OR, 1.42), lower body mass index (OR, 1.06 per kg/m), older age (OR, 1.02 per year), adult reconstruction by specialty (OR, 4.06), and hip and pelvis procedures by anatomic region (OR, 8.76).
DISCUSSION:Intraoperative and postoperative hypothermia are common in patients who have undergone orthopaedic surgery. The high-risk groups identified in this study warrant increased attention and should be targets for interventions to prevent hypothermia and limit morbidity.
LEVEL OF EVIDENCE:Level IV, prognostic study</description><identifier>ISSN: 1067-151X</identifier><identifier>EISSN: 1940-5480</identifier><identifier>DOI: 10.5435/JAAOS-D-16-00742</identifier><identifier>PMID: 30169443</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Body Mass Index ; Body Temperature ; Female ; Humans ; Hypothermia - epidemiology ; Hypothermia - etiology ; Hypothermia - prevention & control ; Incidence ; Male ; Middle Aged ; Orthopedic Procedures ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Complications - prevention & control ; Retrospective Studies ; Risk Factors ; Sex Factors</subject><ispartof>Journal of the American Academy of Orthopaedic Surgeons, 2018-12, Vol.26 (24), p.e497-e503</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>2018 by American Academy of Orthopaedic Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3892-b4a80deadb16ef2e684c7d5ae55865539b111f1563abdbc8b7e4f8e5149b3a4d3</citedby><cites>FETCH-LOGICAL-c3892-b4a80deadb16ef2e684c7d5ae55865539b111f1563abdbc8b7e4f8e5149b3a4d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30169443$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kleimeyer, John P.</creatorcontrib><creatorcontrib>Harris, Alex H. S.</creatorcontrib><creatorcontrib>Sanford, Joseph</creatorcontrib><creatorcontrib>Maloney, William J.</creatorcontrib><creatorcontrib>Kadry, Bassam</creatorcontrib><creatorcontrib>Bishop, Julius A.</creatorcontrib><title>Incidence and Risk Factors for Postoperative Hypothermia After Orthopaedic Surgery</title><title>Journal of the American Academy of Orthopaedic Surgeons</title><addtitle>J Am Acad Orthop Surg</addtitle><description>INTRODUCTION:Postoperative hypothermia is a common complication of orthopaedic surgery associated with increased morbidity. We identified the incidence and risk factors for postoperative hypothermia across orthopaedic surgical procedures.
METHODS:A total of 3,822 procedures were reviewed. Hypothermia was defined as temperature <36.0°C. Incidences were calculated and associated risk factors were evaluated by mixed-effects regression analyses.
RESULTS:Hypothermia was observed in 72.5% of patients intraoperatively and 8.3% postoperatively. Risk factors for postoperative hypothermia included intraoperative hypothermia (odds ratio [OR], 2.72), lower preoperative temperature (OR, 1.46), female sex (OR, 1.42), lower body mass index (OR, 1.06 per kg/m), older age (OR, 1.02 per year), adult reconstruction by specialty (OR, 4.06), and hip and pelvis procedures by anatomic region (OR, 8.76).
DISCUSSION:Intraoperative and postoperative hypothermia are common in patients who have undergone orthopaedic surgery. The high-risk groups identified in this study warrant increased attention and should be targets for interventions to prevent hypothermia and limit morbidity.
LEVEL OF EVIDENCE:Level IV, prognostic study</description><subject>Body Mass Index</subject><subject>Body Temperature</subject><subject>Female</subject><subject>Humans</subject><subject>Hypothermia - epidemiology</subject><subject>Hypothermia - etiology</subject><subject>Hypothermia - prevention & control</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedic Procedures</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><issn>1067-151X</issn><issn>1940-5480</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9v1DAQhS0EoqVw54R85GKYiX_EOa5aSosqLWpB4mY59oQNza6DnVDtf0_oFgQnTvMO73uHbxh7ifBGK6nfflit1jfiTKARALWqHrFjbBQIrSw8XjKYWqDGL0fsWSnfANAo0zxlR3JJjVLymF1f7kIfaReI-13k13255ec-TCkX3qXMP6YypZGyn_ofxC_2Y5o2lLe956tuoszXedqk0VPsA7-Z81fK--fsSeeHQi8e7gn7fP7u0-mFuFq_vzxdXYkgbVOJVnkLkXxs0VBXkbEq1FF70toarWXTImKH2kjfxjbYtibVWdKomlZ6FeUJe33YHXP6PlOZ3LYvgYbB7yjNxVXQ2LoGa2GpwqEaciolU-fG3G993jsE98ukuzfpzhwad29yQV49rM_tluIf4Le6paAOhbs0LCbK7TDfUXYb8sO0-Xf3rw_9B1teVCkjtagALVaoYcEAtPwJ5iGP3w</recordid><startdate>20181215</startdate><enddate>20181215</enddate><creator>Kleimeyer, John P.</creator><creator>Harris, Alex H. S.</creator><creator>Sanford, Joseph</creator><creator>Maloney, William J.</creator><creator>Kadry, Bassam</creator><creator>Bishop, Julius A.</creator><general>Lippincott Williams & Wilkins</general><general>by American Academy of Orthopaedic Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20181215</creationdate><title>Incidence and Risk Factors for Postoperative Hypothermia After Orthopaedic Surgery</title><author>Kleimeyer, John P. ; Harris, Alex H. S. ; Sanford, Joseph ; Maloney, William J. ; Kadry, Bassam ; Bishop, Julius A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3892-b4a80deadb16ef2e684c7d5ae55865539b111f1563abdbc8b7e4f8e5149b3a4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Body Mass Index</topic><topic>Body Temperature</topic><topic>Female</topic><topic>Humans</topic><topic>Hypothermia - epidemiology</topic><topic>Hypothermia - etiology</topic><topic>Hypothermia - prevention & control</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedic Procedures</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kleimeyer, John P.</creatorcontrib><creatorcontrib>Harris, Alex H. S.</creatorcontrib><creatorcontrib>Sanford, Joseph</creatorcontrib><creatorcontrib>Maloney, William J.</creatorcontrib><creatorcontrib>Kadry, Bassam</creatorcontrib><creatorcontrib>Bishop, Julius A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Orthopaedic Surgeons</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kleimeyer, John P.</au><au>Harris, Alex H. S.</au><au>Sanford, Joseph</au><au>Maloney, William J.</au><au>Kadry, Bassam</au><au>Bishop, Julius A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and Risk Factors for Postoperative Hypothermia After Orthopaedic Surgery</atitle><jtitle>Journal of the American Academy of Orthopaedic Surgeons</jtitle><addtitle>J Am Acad Orthop Surg</addtitle><date>2018-12-15</date><risdate>2018</risdate><volume>26</volume><issue>24</issue><spage>e497</spage><epage>e503</epage><pages>e497-e503</pages><issn>1067-151X</issn><eissn>1940-5480</eissn><abstract>INTRODUCTION:Postoperative hypothermia is a common complication of orthopaedic surgery associated with increased morbidity. We identified the incidence and risk factors for postoperative hypothermia across orthopaedic surgical procedures.
METHODS:A total of 3,822 procedures were reviewed. Hypothermia was defined as temperature <36.0°C. Incidences were calculated and associated risk factors were evaluated by mixed-effects regression analyses.
RESULTS:Hypothermia was observed in 72.5% of patients intraoperatively and 8.3% postoperatively. Risk factors for postoperative hypothermia included intraoperative hypothermia (odds ratio [OR], 2.72), lower preoperative temperature (OR, 1.46), female sex (OR, 1.42), lower body mass index (OR, 1.06 per kg/m), older age (OR, 1.02 per year), adult reconstruction by specialty (OR, 4.06), and hip and pelvis procedures by anatomic region (OR, 8.76).
DISCUSSION:Intraoperative and postoperative hypothermia are common in patients who have undergone orthopaedic surgery. The high-risk groups identified in this study warrant increased attention and should be targets for interventions to prevent hypothermia and limit morbidity.
LEVEL OF EVIDENCE:Level IV, prognostic study</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>30169443</pmid><doi>10.5435/JAAOS-D-16-00742</doi></addata></record> |
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| ispartof | Journal of the American Academy of Orthopaedic Surgeons, 2018-12, Vol.26 (24), p.e497-e503 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Body Mass Index Body Temperature Female Humans Hypothermia - epidemiology Hypothermia - etiology Hypothermia - prevention & control Incidence Male Middle Aged Orthopedic Procedures Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Complications - prevention & control Retrospective Studies Risk Factors Sex Factors |
| title | Incidence and Risk Factors for Postoperative Hypothermia After Orthopaedic Surgery |
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