Evidence map›Paper›PMID 39350026›Full record

Observational studyBMC anesthesiology2024

Intraoperative temperature management during emergency cesarean section: a retrospective observational study.

Ran Zhang, Qiang Zhou, Hongli Guan

Abstract readObservational Study
In one paragraph

Observational study in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Ran ZhangDepartment of Nursing, Suzhou Municipal Hospital of Anhui Province, Suzhou Hospital of Anhui Medical University, Anhui Province, China.
Qiang ZhouDepartment of Anesthesiology, Suzhou Municipal Hospital of Anhui Province, Suzhou Hospital of Anhui Medical University, Anhui Province, China.
Hongli GuanDepartment of Nursing, Suzhou Municipal Hospital of Anhui Province, Suzhou Hospital of Anhui Medical University, Anhui Province, China. 119166728@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraoperative hypothermia is a common complication during cesarean section (C-section) and associated with the high maternal mortality and morbidity. This study aimed to explore the risk factors associated with the incidence of intraoperative hypothermia in women who underwent emergency C-section deliveries.

methodsWe retrospectively enrolled women who underwent emergency cesarean deliveries from August 2022 to Dec 2023 at Suzhou Municipal Hospital of Anhui Province. Baseline characteristics, thermal status, and perioperative information were extracted. Hypothermia was defined as the onset of a core temperature below 36 °C. Data were compared between patients with and without a hypothermia during surgery. Logistic regression analyses were performed to determine the risk factors for low-temperature-status.

resultsOverall, 87 patients were included, and 30 underwent hypothermia during surgery. For women with a normal temperature status, women in the hypothermia group had a lower incidence of receiving active warming methods (52.6% vs. 30%, P = 0.044). In the logistic regression model involving core temperature, a pre-surgery core temperature < 36.5 °C (OR 4.22, 95% CI 1.13-15.63, p = 0.032) and a long surgery duration (per 10 min, OR 1.97, 95% CI 1.24-3.11, p = 0.004) were associated with a high probability of hypothermia. Administering active warming methods to women can reduce the risk of experiencing a hypothermia during emergency C-sections (OR 0.19, 95% CI 0.05-0.63; p = 0.007).

conclusionsHypothermia is common in emergency C-section deliveries. It is recommended that active warming methods should be applied to parturient undergoing emergency C-sections more proactively, especially for women who have a low baseline core temperature (< 36.5 °C) and are expected to have a long surgery duration.

Indexed as

Cesarean SectionHypothermiaIntraoperative ComplicationsAdultBody TemperatureEmergenciesFemaleHumansIncidenceIntraoperative CarePregnancyRetrospective StudiesRisk FactorsCesarean sectionEmergencyIntraoperative hypothermiaWarming method

Identifiers

PMID39350026
PMCPMC11440657

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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.