학술논문
Unintentional perioperative hypothermia is associated with severe complications and high mortality in elective operations
Document Type
Academic Journal
Author
Source
Surgery. Nov 01, 2014 156(5):1245-1252
Subject
Language
English
ISSN
0039-6060
Abstract
INTRODUCTION.: METHODS.: RESULTS.: All patients from UHC with a code for hypothermia were indeed unintentionally hypothermic. Hypothermic patients undergoing elective operations experienced a 4-fold increase in mortality (17.0% vs 4.0%; P < .001) and a doubled complication rate (26.3% vs 13.9%; P < .001), in which sepsis and stroke increased the most. Several independent risk factors for hypothermia were amenable to preoperative improvement: anemia, chronic renal impairment, and unintended weight loss. Severity of illness on admission, age >65 years, male sex, and neurologic disorders also were risk factors. CONCLUSION.