{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:45:14Z","timestamp":1792032314921,"version":"4.4.0"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Anesthesiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Inadvertent perioperative hypothermia is an unintentional drop in core body temperature to less than 36\u00a0\u00b0C perioperatively and is associated with many negative outcomes such as infection, a prolonged stay in a recovery room, and decreased patient comfort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the incidence of postoperative hypothermia and to identify the associated factors with postoperative hypothermia in patients undergoing head, neck, breast, general, urology, and vascular surgery. The incidences of pre- and intraoperative hypothermia were examined as the intermediate outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A retrospective chart review was conducted in adult patients undergoing surgery at a university hospital in a developing country for two months (October to November 2019). Temperatures below 36\u00a0\u00b0C were defined as hypothermia. Univariate and multivariate analyses were used to identify factors associated with postoperative hypothermia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 742 patients were analyzed, the incidence of postoperative hypothermia was 11.9% (95% CI 9.7%-14.3%), and preoperative hypothermia was 0.4% (95% CI 0.08%-1.2%). Of the 117 patients with intraoperative core temperature monitoring, the incidence of intraoperative hypothermia was 73.5% (95% CI 58.8\u201390.8%), and hypothermia occurred most commonly after anesthesia induction. Associated factors of postoperative hypothermia were ASA physical status III-IV (OR\u2009=\u20091.78, 95%CI 1.08\u20132.93,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023) and preoperative hypothermia (OR\u2009=\u200917.99, 95%CI\u2009=\u20091.57-206.89,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.020). Patients with postoperative hypothermia had a significantly longer stay in the PACU (100\u00a0min vs. 90\u00a0min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.047) and a lower temperature when discharged from PACU (36.2\u00a0\u00b0C vs. 36.5\u00a0\u00b0C,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) than those without hypothermia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study confirms that perioperative hypothermia remains a common problem, especially in the intraoperative and postoperative periods. High ASA physical status and preoperative hypothermia were associated factors of postoperative hypothermia. In order to minimize the incidence of perioperative hypothermia and enhance patient outcomes, appropriate temperature management should be emphasized in patients at high risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>Clinical Trials.gov (NCT04307095) (13\/03\/2020).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12871-023-02084-2","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T03:03:01Z","timestamp":1682391781000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Incidence and associated factors of perioperative hypothermia in adult patients at a university-based, tertiary care hospital in Thailand"],"prefix":"10.1186","volume":"23","author":[{"given":"Mingkwan","family":"Wongyingsinn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varut","family":"Pookprayoon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,4,25]]},"reference":[{"issue":"6","key":"2084_CR1","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1111\/anae.12129","volume":"68","author":"D Karalapillai","year":"2013","unstructured":"Karalapillai D, Story D, Hart GK, Bailey M, Pilcher D, Schneider A, et al. 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All methods were carried out in accordance with relevant guidelines and regulations. The information in the hospital database was permitted to use for the purposes of this research by the director of Siriraj Hospital. The requirement for written informed consent was waived by the Siriraj Institutional Review Board (Si 040\/2020) regarding the retrospective nature of the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors of this work have nothing to disclose.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"137"}}