Evidence map›Paper›PMID 41113038›Full record

ArticleAmerican journal of translational research2025

Development and validation of a postoperative hypothermia risk model for minimally invasive transurethral surgery under general anesthesia.

Yaqian Li, Sunrui Yu, Wei Wang, Duojia Xu, Lei Zhang, Hou Zeng, Chang Xiong, Daiyu Li, Yujin Liu

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Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Yaqian LiDepartment of Anesthesiology, Jinhua Municipal Central Hospital Jinhua 321000, Zhejiang, China.
Sunrui YuDepartment of Anesthesiology, Jinhua Municipal Central Hospital Jinhua 321000, Zhejiang, China.
Wei WangDepartment of Anesthesiology, Jinhua Municipal Central Hospital Jinhua 321000, Zhejiang, China.
Duojia XuDepartment of Anesthesiology, Jinhua Municipal Central Hospital Jinhua 321000, Zhejiang, China.
Lei ZhangDepartment of Anesthesiology, Jinhua Municipal Central Hospital Jinhua 321000, Zhejiang, China.
Hou ZengDepartment of Anesthesiology, Jinhua Municipal Central Hospital Jinhua 321000, Zhejiang, China.
Chang XiongDepartment of Anesthesiology, The Third Affiliated Hospital of Sun Yat-sen University Guangzhou 510000, Guangdong, China.
Daiyu LiDepartment of Anesthesiology, Ruian People's Hospital Wenzhou 325000, Zhejiang, China.
Yujin LiuDepartment of Nursing, The Second Hosiptal of Jinhua Jinhua 321000, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop a risk prediction model for postoperative hypothermia in patients undergoing minimally invasive transurethral surgery under general anesthesia.

methodsThis retrospective study collected data from hospital electronic medical records. The construction cohort included 1039 cases, and the validation cohort included 200 patients. Baseline characteristics and possibly significant preoperative and intraoperative factors were collected. Variables were selected using LASSO regression, followed by univariate and multivariate logistic regression to identify independent risk factors for postoperative hypothermia. A forest plot was created, and a predictive model was developed. Model performance was evaluated using the area under the receiver operating characteristic curve (AUC) and the Hosmer-Lemeshow test.

resultsSeven predictors were identified: age, BMI, glucocorticoid use, anesthesia medications (non-depolarizing muscarinics), bleeding > 50 ml, ASA classification, and use of intraoperative thermal blankets. In the construction cohort, AUC was 0.829 (95% CI 0.793-0.866; P < 0.001), with a sensitivity of 70.1%, specificity of 83.3%, and Youden's index of 0.541. The internal validation C-index was 0.85. In the external validation, AUC was 0.799 (95% CI 0.735-0.863; P < 0.001), with sensitivity of 72.4%, specificity of 73.9%, and Youden's index of 0.558. All Hosmer-Lemeshow tests showed P > 0.05.

conclusionThe postoperative hypothermia risk prediction model for minimally invasive transurethral surgery demonstrated excellent discrimination and calibration by both internal and external validations, providing clinical value. It may aid clinicians in early identification of high-risk patients for personalized temperature management.

Indexed as

external validationhypothermiaminimally invasive transurethral surgeryprediction modelUrology

Identifiers

PMID41113038
PMCPMC12531523

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