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Komplikationer av oplanerad hypotermi under perioperativ vård. En systematisk litteraturstudie

Herath Mudiyanselage, Chamila LU and Mamani, Paloma LU (2013) ANSM22 20231
Department of Health Sciences
Abstract
Abstract
Background: The incidence of unplanned perioperative hypothermia among patients is high, it varies from 50 to 90 percent. This leads to several complications such as coagulation disorders, surgical site infections and also affects patient comfort negatively.
Aim: The aim of this study was to investigate the complications of unplanned hypothermia on adult patients during perioperative care.
Method: The study was carried out as a systematic literature review. Articles were searched in PubMed and Cinahl databases. Studies that were based on a quantitative method were used to investigate perioperative complications due to unplanned hypothermia. Hypothermia was defined as body temperature lower than 36°C. Nine studies were... (More)
Abstract
Background: The incidence of unplanned perioperative hypothermia among patients is high, it varies from 50 to 90 percent. This leads to several complications such as coagulation disorders, surgical site infections and also affects patient comfort negatively.
Aim: The aim of this study was to investigate the complications of unplanned hypothermia on adult patients during perioperative care.
Method: The study was carried out as a systematic literature review. Articles were searched in PubMed and Cinahl databases. Studies that were based on a quantitative method were used to investigate perioperative complications due to unplanned hypothermia. Hypothermia was defined as body temperature lower than 36°C. Nine studies were identified as relevant using SBU´s assessment criteria for study relevance. These nine articles were graded based on the CASP’s checklist for cohort studies.
Results: The studies included in this literature review were carried out in Australia, New Zealand, Japan, the United States of America and Germany. Surgical site infections, loss of blood and need of blood transfusion, prolonged stay in hospital and need of intensive care, morbidity and mortality were identified as complications. Incidences of hypothermia during the perioperative care differed from 2,4 percent till 72 percent, which was also similar to the results from other studies. Association between hypothermia and those complications were confounded with several factors: low body mass index, old age, female gender and comorbidity. According to this study, unplanned hypothermia was not significantly related with an increased risk for complications during the perioperative care. However, it was evident that severe hypothermia, temperature below 35°C, increased the risk for complications.
Conclusion: It was evident that there was a high incidence of hypothermia, although preventive measures to keep normal body temperature were used during perioperative care. Therefore, taking measures to prevent unplanned hypothermia, temperature monitoring and early detection of incidences of hypothermia are still an important part of providing a sense of comfort for the patient. (Less)
Please use this url to cite or link to this publication:
author
Herath Mudiyanselage, Chamila LU and Mamani, Paloma LU
supervisor
organization
alternative title
Complications of unplanned hypothermia during perioperative care. Systematic literature review
course
ANSM22 20231
year
type
H1 - Master's Degree (One Year)
subject
keywords
Hypothermia, inadvertent, unplanned, perioperative care, intraoperative care, perioperative, complications, perioperative complications, postoperative complications and systematic literature review.
language
Swedish
id
9121839
date added to LUP
2024-03-06 08:33:49
date last changed
2024-03-06 08:33:49
@misc{9121839,
  abstract     = {{Abstract
Background: The incidence of unplanned perioperative hypothermia among patients is high, it varies from 50 to 90 percent. This leads to several complications such as coagulation disorders, surgical site infections and also affects patient comfort negatively. 
Aim: The aim of this study was to investigate the complications of unplanned hypothermia on adult patients during perioperative care. 
Method: The study was carried out as a systematic literature review. Articles were searched in PubMed and Cinahl databases. Studies that were based on a quantitative method were used to investigate perioperative complications due to unplanned hypothermia. Hypothermia was defined as body temperature lower than 36°C. Nine studies were identified as relevant using SBU´s assessment criteria for study relevance. These nine articles were graded based on the CASP’s checklist for cohort studies. 
Results: The studies included in this literature review were carried out in Australia, New Zealand, Japan, the United States of America and Germany. Surgical site infections, loss of blood and need of blood transfusion, prolonged stay in hospital and need of intensive care, morbidity and mortality were identified as complications. Incidences of hypothermia during the perioperative care differed from 2,4 percent till 72 percent, which was also similar to the results from other studies. Association between hypothermia and those complications were confounded with several factors: low body mass index, old age, female gender and comorbidity. According to this study, unplanned hypothermia was not significantly related with an increased risk for complications during the perioperative care. However, it was evident that severe hypothermia, temperature below 35°C, increased the risk for complications. 
Conclusion: It was evident that there was a high incidence of hypothermia, although preventive measures to keep normal body temperature were used during perioperative care. Therefore, taking measures to prevent unplanned hypothermia, temperature monitoring and early detection of incidences of hypothermia are still an important part of providing a sense of comfort for the patient.}},
  author       = {{Herath Mudiyanselage, Chamila and Mamani, Paloma}},
  language     = {{swe}},
  note         = {{Student Paper}},
  title        = {{Komplikationer av oplanerad hypotermi under perioperativ vård. En systematisk litteraturstudie}},
  year         = {{2013}},
}