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The research question in this study was as follows: \u201cHow does mild hypothermia impair the hemostatic function in patients receiving thoracic surgeries?\u201d. The purpose was to detect the disturbed coagulation processes by comparing the TEG parameters in patients receiving active\n                      <jats:italic>vs<\/jats:italic>\n                      . passive warming during thoracic surgeries.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Standard coagulation tests and thromboelastography (TEG) were adopted to compare the hemostatic functions in patients receiving active\n                      <jats:italic>vs<\/jats:italic>\n                      . passive warming during thoracic surgeries. Furthermore, blood samples from passive warming group were retested for TEG at actual core body temperatures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty-four eligible patients were included in this study. TEG revealed that mild hypothermia significantly disturbed coagulation by decreasing MA (59.4\u2009\u00b1\u20094.5\u00a0mm vs. 64.2\u2009\u00b1\u20095.7\u00a0mm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04) and \u03b1 angle (70.4\u2009\u00b1\u20095.2\u00b0 vs. 74.9\u2009\u00b1\u20094.4\u00b0,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05) and prolonging ACT (122.2\u2009\u00b1\u200919.3\u00a0s vs. 117.3\u2009\u00b1\u200915.2\u00a0s,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) and K time (1.9\u2009\u00b1\u20091.0\u00a0s vs. 1.3\u2009\u00b1\u20090.4\u00a0min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). TEGs conducted under core body temperatures revealed more impaired coagulation than those incubated at 37\u00a0\u00b0C. Furthermore, postoperative shivering and waking time were significantly increased in mild hypothermic patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mild hypothermia significantly impaired coagulation function in patients receiving thoracic surgeries, which could be detected by TEGs other than the standard coagulation tests. Temperature-adjusted TEGs may provide a preferable method of hemostatic monitoring and transfusion guidance in thoracic surgeries, which warrants further clinical investigations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13741-024-00405-8","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T05:01:55Z","timestamp":1718168515000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Temperature effect on coagulation function in mild hypothermic patients undergoing thoracic surgeries: thromboelastography (TEG) versus standard tests"],"prefix":"10.1186","volume":"13","author":[{"given":"Shangyi","family":"Hui","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Lang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Yi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,12]]},"reference":[{"issue":"2","key":"405_CR1","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1007\/s10877-017-0017-z","volume":"32","author":"V Alparslan","year":"2018","unstructured":"Alparslan V, Kus A, Hosten T, et al. 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