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Title: Perioperative hypothermia in colorectal surgeries: are we doing enough to prevent it?
Authors: Tanzeela Gala , Noman Shahzad , Ahmed Iqbal Edhi , Tabish Umer Chawla
Journal: Journal of Pakistan Medical Association
Publisher: Pakistan Medical Association.
Country: Pakistan
Year: 2020
Volume: 70
Issue: 2
Language: English
DOI: https://doi.org/10.5455/JPMA.294692
Keywords: HypothermiaperioperativeColorectal surgeries
Abstract
Objectives: To determine the incidence of hypothermia in patients undergoing colorectal surgery, and to identify factors that increase vulnerability to perioperative hypothermia.
Methods: The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised medical records from May 2012 to June 2017 related to all patients aged >16 years of either gender who underwent colorectal procedures. Analysis about predictors of perioperative hypothermia was done using Stata 12.
Results: Of the 100 patients, 69(69%) were males. The overall mean age was 50.2±16.7 years. Majority cases had elective presentation 72(72%). Incidence of perioperative hypothermia was noted in 74(74%) patients. Postoperative morbidity was 16(16%), while mortality was 4(4%). Elective presentation and hypothermia before surgery were significantly associated with occurrence of intraoperative hypothermia (odds ratio: 4.5 and 1.3 respectively).
Conclusion: Perioperative incidence of hypothermia was found to be quite high despite appropriate measures. Factors responsible need to be explored and rectified.
Keywords: Hypothermia, Colorectal surgeries, Perioperative.
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