Perioperative hypothermia in colorectal surgeries: are we doing enough to prevent it?

J Pak Med Assoc. 2020 Feb;70(2):304-307. doi: 10.5455/JPMA.294692.

Abstract

Objective: 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).

Conclusions: 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..

MeSH terms

  • Adult
  • Aged
  • Colon / surgery*
  • Conversion to Open Surgery
  • Digestive System Surgical Procedures*
  • Elective Surgical Procedures / statistics & numerical data
  • Emergencies
  • Female
  • Humans
  • Hypothermia / epidemiology*
  • Incidence
  • Intraoperative Complications / epidemiology*
  • Intraoperative Complications / prevention & control
  • Laparoscopy
  • Laparotomy
  • Male
  • Middle Aged
  • Operative Time
  • Pakistan / epidemiology
  • Perioperative Care*
  • Postoperative Complications / epidemiology*
  • Postoperative Complications / prevention & control
  • Preoperative Period*
  • Rectum / surgery*