Evidence map›Paper›PMID 40722072›Full record

SynthesisBMC musculoskeletal disorders2025

The prevalence and risk factors of intraoperative hypothermia in patients with hip/knee arthroplasty: a systematic review and meta-analysis.

Bingxin Fan, Boliang Li, Zhi Wang, Hao Wu, Li Huang, Surong Liu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2025. 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

6 authors.

Bingxin FanSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Boliang LiDepartment of Health Statistics, School of Public Health, Dalian Medical University, Dalian, China.
Zhi WangSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Hao WuChengdu Integrated TCM and Western Medicine Hospital (Chengdu First People's Hospital), Chengdu, China.
Li HuangChengdu Integrated TCM and Western Medicine Hospital (Chengdu First People's Hospital), Chengdu, China.
Surong LiuChengdu Integrated TCM and Western Medicine Hospital (Chengdu First People's Hospital), Chengdu, China. Liusurong2004@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraoperative hypothermia (IOH) is common among patients undergoing total joint arthroplasty (TJA) of the lower extremities. Evaluating the risk factors for IOH is critical for the success of preventive interventions. This study aims to systematically assess the prevalence and risk factors of IOH in TJA patients.

designSystematic review and meta-analysis.

methodsTwo independent researchers conducted a literature search across eight databases: PubMed, Web of Science, Embase, Cochrane Library, CNKI, VIP, WANFANG Data, and CBM. The quality of included studies was assessed using the Newcastle-Ottawa Scale. A random-effects model was employed to analyze the prevalence and risk factors of IOH. All analyses were performed using Stata 12.0 software.

resultsAcross 21 cohort studies on TJA patients, the pooled prevalence of IOH was 35.28% (95% CI: 27.50%-43.48%). Subgroup analysis revealed an IOH prevalence of 38.66% (95% CI: 28.67%-49.16%) in THA patients and 27.23% (95% CI: 18.37%- 37.11%) in TKA patients. Significant risk factors for IOH included intraoperative blood loss, intraoperative infusion volume, operating room temperature, and surgical time. Current evidence does not support a clear association between patient age, anesthesia time, and IOH.

conclusionOur Meta-analysis indicates that the prevalence of IOH is high among TJA patients, despite significant heterogeneity (I² =98.7%, τ²= 0.15), the pooled analysis suggested the prevalence of IOH in TJA patients was 35.28% (95% CI: 27.50%-43.48%). However, the interpretation of these findings should be cautious due to substantial variability across studies. Additionally, assessment of intraoperative blood loss, infusion volume, operating room temperature, and surgical time should be integral to IOH risk evaluation in TJA patients. Future studies are needed to further explore the roles of age and anesthesia time as potential risk factors. Tailored IOH prevention strategies should be developed by addressing modifiable risk factors.

trial registrationPROSPERO Registration ID: CRD42024559846

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeHypothermiaIntraoperative ComplicationsHumansPrevalenceRisk FactorsIntraoperative hypothermiaMeta-analysisPrevalenceRisk factorsTHATKA

Identifiers

PMID40722072
PMCPMC12305960

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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.