Evidence map›Paper›PMID 32328169›Full record

ArticlePatient safety in surgery2020

Improving intraoperative temperature management in elective repeat cesarean deliveries: a retrospective observational cohort study.

Amie L Hoefnagel, Kristen L Vanderhoef, Anwar Anjum, Venkata Damalanka, Saurin J Shah, Carol A Diachun, Paul D Mongan

Open access · goldAbstract read
In one paragraph

Article in Patient safety in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Amie L Hoefnagel1Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, 655 West 8th Street; Box C-72, Jacksonville, FL 32209 USA.
Kristen L Vanderhoef1Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, 655 West 8th Street; Box C-72, Jacksonville, FL 32209 USA.
Anwar Anjum2Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA USA.
Venkata Damalanka1Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, 655 West 8th Street; Box C-72, Jacksonville, FL 32209 USA.
Saurin J Shah1Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, 655 West 8th Street; Box C-72, Jacksonville, FL 32209 USA.
Carol A Diachun1Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, 655 West 8th Street; Box C-72, Jacksonville, FL 32209 USA.
Paul D Mongan1Department of Anesthesiology, University of Florida College of Medicine - Jacksonville, 655 West 8th Street; Box C-72, Jacksonville, FL 32209 USA.
University of Florida · USFlorida College · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInadvertent perioperative hypothermia (< 36 °C) occurs frequently during elective cesarean delivery and most institutions do employ perioperative active warming. The purpose of this retrospective observational cohort study was to determine if the addition of preoperative forced air warming in conjunction with intraoperative underbody forced air warming improved core temperature and reducing inadvertent perioperative hypothermia during elective repeat elective cesarean delivery with neuraxial anesthesia.

methodsWe evaluated the addition of perioperative active warming to standard passive warming methods (preheated intravenous/irrigation fluids and cotton blankets) in 120 parturients scheduled for repeat elective cesarean delivery (passive warming, n = 60 vs. active + passive warming, n = 60) in a retrospective observational cohort study. The primary outcomes of interest were core temperature at the end of the procedure and a decrease in inadvertent perioperative hypothermia (< 36 °C). Secondary outcomes were surgical site infections and adverse markers of neonatal outcome.

resultsThe mean temperature at the end of surgery after instituting the active warming protocol was 36.0 ± 0.5

conclusionsPerioperative active warming in combination with passive warming techniques was associated with a higher maternal temperature and lower incidence of inadvertent perioperative hypothermia with no detectable differences in surgical site infections or indicators of adverse neonatal outcomes.

Indexed as

AnesthesiaBody temperatureCesarean sectionForced air warmingInadvertent hypothermiaIntraoperative complications/*prevention & controlMH - cesarean section/*methodsObstetricalPerioperative careQuality improvement

Identifiers

PMID32328169
PMCPMC7168984
OpenAlexW3018438632

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.