ArticleInternational journal of medical sciences2021
Incidence of postoperative hypothermia and its risk factors in adults undergoing orthopedic surgery under brachial plexus block: A retrospective cohort study.
Article in International journal of medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Risk factors for postoperative hypothermia in non-cardiac surgery patients: a systematic review and meta-analysis.BMC anesthesiology · 2025Pooled it
- Impact of Warmed Irrigation Fluid During Shoulder Arthroscopy on Patient Temperature, Recovery, and Cognitive Function: A Prospective Analysis of Influencing Factors.Orthopaedic surgery · 2025Trial
- Effect of Remimazolam on the Incidence of Intraoperative Hypothermia Compared with Inhalation Anesthetics in Patients Undergoing Endoscopic Nasal Surgery: A Prospective Randomized Controlled Trial.International journal of medical sciences · 2024Trial
- The recovery of upper limb function and postoperative pain in children with lateral humeral condyle fractures were examined retrospectively in relation to the effects of brachial plexus block given in conjunction with general anesthesia.Journal of orthopaedic surgery and research · 2023Trial
- Thoracic Paravertebral Block Decreased Body Temperature in Thoracoscopic Lobectomy Patients: A Randomized Controlled Trial.Therapeutics and clinical risk management · 2023Trial
- Comparison of two different uses of underbody forced-air warming blankets for the prevention of hypothermia in patients undergoing arthroscopic shoulder surgery: a prospective randomized study.BMC anesthesiology · 2022Trial
- Nurses' knowledge, attitudes, and behaviors of inadvertent perioperative hypothermia prevention in China: a multicenter, cross-sectional study.BMC pediatrics · 2025Article
- Construction and application of composite insulation scheme in the perioperative period of patients undergoing laparoscopic colorectal cancer surgery.World journal of gastrointestinal surgery · 2025Article
- Development and validation of a postoperative hypothermia risk model for minimally invasive transurethral surgery under general anesthesia.American journal of translational research · 2025Article
- Development of a risk predictive score for intraoperative hypothermia in pediatric patients: A retrospective cohort study.PloS one · 2025Article
- Development of a machine learning-based predictive model for intraoperative hypothermia risk during radical surgery for oral cancer.American journal of translational research · 2025Article
- Construction and validation of a postoperative hypothermia prediction model in elderly patients undergoing colorectal surgery.Heliyon · 2024Article
- Effect of thermal insulation on preventing hypothermia during laparoscopic radical resection for colorectal cancer.American journal of translational research · 2024Article
- Prewarming for Prevention of Hypothermia in Older Patients Undergoing Hand Surgery Under Brachial Plexus Block.Annals of geriatric medicine and research · 2022Article
- Risk Factors for Postoperative Hypothermia in Patients Undergoing Robot-Assisted Gynecological Surgery: A Retrospective Cohort Study.International journal of medical sciences · 2022Article
- Postoperative hypothermia following non-cardiac high-risk surgery: A prospective study of temporal patterns and risk factors.PloS one · 2021Article
- Risk factors for inadvertent intraoperative hypothermia in patients undergoing laparoscopic surgery: A prospective cohort study.PloS one · 2021Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Postoperative hypothermia increases patient mortality and morbidity. However, the incidence of, and risk factors for, postoperative hypothermia in patients undergoing surgery under brachial plexus block (BPB) as the primary method of anesthesia remain unclear. This study aimed to determine the incidence of, and risk factors for, postoperative hypothermia in patients undergoing surgery under BPB. We retrospectively analyzed 660 patients aged ≥ 19 years who underwent orthopedic surgery under BPB in our hospital between October 2014 and October 2019. Postoperative hypothermia was defined as a tympanic membrane temperature < 36 °C when the patient arrived in the post-anesthesia care unit. Multivariate logistic regression analysis was performed to identify the independent risk factors for postoperative hypothermia. Postoperative hypothermia was observed in 40.6% (268/660) of patients. Independent risk factors for postoperative hypothermia were lower baseline core temperature before anesthesia (odds ratio [OR] 0.355; 95% confidence interval [CI] 0.185-0.682), alcohol abuse (OR 2.658; 95% CI 1.105-6.398), arthroscopic shoulder surgery (OR 2.007; 95% CI 1.428-2.820), use of fentanyl (OR 1.486; 95% CI 1.059-2.087), combined use of midazolam and dexmedetomidine (OR 1.816; 95% CI 1.268-2.599), a larger volume of intravenous fluid (OR 1.001; 95% CI 1.000-1.002), and longer duration of surgery (OR 1.010; 95% CI 1.004-1.017). Postoperative hypothermia is common in adult patients undergoing orthopedic surgery under BPB. The risk factors identified in this study should be considered to avoid postoperative hypothermia in these patients.
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