ArticlePloS one2021
Postoperative hypothermia following non-cardiac high-risk surgery: A prospective study of temporal patterns and risk factors.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Risk factors for postoperative hypothermia in non-cardiac surgery patients: a systematic review and meta-analysis.BMC anesthesiology · 2025Pooled it
- Prediction of intraoperative hypothermia in esophageal cancer radical surgery under general anesthesia: development and validation of a nomogram model.Frontiers in surgery · 2026Article
- Knowledge, attitude, and practice of medical staffs in the operating room towards unintentional perioperative hypothermia prevention: A multicenter cross-sectional study.Scientific reports · 2025Article
- Artificial intelligence revolutionizing anesthesia management: advances and prospects in intelligent anesthesia technology.Frontiers in medicine · 2025Review
- Risk Prediction Models for Perioperative Hypothermia: A Systematic Review.Journal of multidisciplinary healthcare · 2025Review
- Intraoperative thermostatic nursing and failure mode and effects analysis enhance gastrectomies' care quality.World journal of gastrointestinal surgery · 2024Article
- Hybrid operating rooms and the risk of postoperative hypothermia in pregnant women with placenta previa: A retrospective cohort study.PloS one · 2024Article
- Incidence and associated factors of perioperative hypothermia in adult patients at a university-based, tertiary care hospital in Thailand.BMC anesthesiology · 2023Article
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Authors and funding
13 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesHypothermia occurs commonly during surgery and can cause postoperative complications. We aimed to describe the characteristics and outcomes of hypothermia in patients undergoing major surgeries.
methodsThis prospective, observational, multicenter study of a nationally representative sample included all patients over 18 years of age admitted to an intensive care unit (ICU). Thirty ICUs were selected randomly at national level. The main outcome measure was the proportion of patients who developed postoperative hypothermia in the first 24 hours of ICU admission. Patients were divided into three groups based on temperature: <35°C, <36°C, and ≥36°C (no hypothermia). Patients' characteristics, postoperative complications, and risk factors were evaluated in all groups. To verify whether hypothermia was a strong risk factor for postoperative complications, a Kaplan-Meier curve was generated and adjusted using a Cox regression model.
resultsIn total, 738 patients had their temperatures measured. The percentage of patients with temperature <35°C (median [Q1-Q3], 34.7°C [34.3-34.9°C]) was 19.1% (95% confidence interval [CI] = 16.1-22.5) and that of patients with temperature <36°C (median [Q1-Q3], 35.4°C [35.0-35.8°C]) was 64% (95% CI = 58.3-70.0). The percentage of surgical complications was 38.9%. Patients with hypothermia were older, had undergone abdominal surgeries, had undergone procedures of longer duration, and had more comorbidities. A postoperative temperature ≤35°C was an independent risk for composite postoperative complications (hazard ratio = 1.523, 95% CI = 1.15-2.0), especially coagulation and infection.
conclusionsInadvertent hypothermia was frequent among patients admitted to the ICU and occurred more likely after abdominal surgery, after a long procedure, in elderly patients, and in patients with a higher number of comorbidities. Low postoperative temperature was associated with postoperative complications.
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