{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:00:22Z","timestamp":1790791222632,"version":"4.1.0"},"reference-count":37,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T00:00:00Z","timestamp":1632355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"QIHANG funds of Fujian Medical University","award":["2018QH1220"],"award-info":[{"award-number":["2018QH1220"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\"><jats:title>Background<\/jats:title><jats:p>Inadvertent intraoperative hypothermia is frequent during open surgeries; however, few studies on hypothermia during laparoscopic abdominal surgery have been reported. We aimed to investigate the incidence and risk factors for hypothermia in patients undergoing laparoscopic abdominal surgery.<\/jats:p><\/jats:sec><jats:sec id=\"sec002\"><jats:title>Methods<\/jats:title><jats:p>This single-center prospective cohort observational study involved patients undergoing laparoscopic surgery between October 2018 and June 2019. Data on core body temperature and potential variables were collected. A multivariate logistic regression analysis was performed to identify the risk factors associated with hypothermia. A Cox regression analysis was used to verify the sensitivity of the results.<\/jats:p><\/jats:sec><jats:sec id=\"sec003\"><jats:title>Results<\/jats:title><jats:p>In total, 690 patients were included in the analysis, of whom 200 (29.0%, 95% CI: 26%\u221232%) had a core temperature &lt; 36\u00b0C. The core temperature decreased over time, and the incident hypothermia increased gradually. In the multivariate logistic regression analysis, age (OR = 1.017, 95% CI: 1.000\u20131.034,<jats:italic>P<\/jats:italic>= 0.050), BMI (OR = 0.938, 95% CI: 0.880\u20131.000;<jats:italic>P<\/jats:italic>= 0.049), baseline body temperature (OR = 0.025, 95% CI: 0.010\u20130.060;<jats:italic>P &lt;<\/jats:italic>0.001), volume of irrigation fluids (OR = 1.001, 95% CI: 1.000\u20131.001,<jats:italic>P<\/jats:italic>= 0.001), volume of urine (OR = 1.001, 95% CI: 1.000\u20131.003,<jats:italic>P<\/jats:italic>= 0.070), and duration of surgery (OR = 1.010, 95% CI: 1.006\u20131.015,<jats:italic>P<\/jats:italic>&lt; 0.001) were significantly associated with hypothermia. In the Cox analysis, variables in the final model were age, BMI, baseline body temperature, volume of irrigation fluids, blood loss, and duration of surgery.<\/jats:p><\/jats:sec><jats:sec id=\"sec004\"><jats:title>Conclusions<\/jats:title><jats:p>Inadvertent intraoperative hypothermia is evident in patients undergoing laparoscopic surgeries. Age, BMI, baseline body temperature, volume of irrigation fluids, and duration of surgery are significantly associated with intraoperative hypothermia.<\/jats:p><\/jats:sec>","DOI":"10.1371\/journal.pone.0257816","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T14:37:03Z","timestamp":1632494223000},"page":"e0257816","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":49,"title":["Risk factors for inadvertent intraoperative hypothermia in patients undergoing laparoscopic surgery: A prospective cohort study"],"prefix":"10.1371","volume":"16","author":[{"given":"Huai-Ying","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Jing","family":"Su","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hang-Zhou","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Zou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Xia","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,9,23]]},"reference":[{"key":"pone.0257816.ref001","unstructured":"NICE, Clinical Practice Guideline. 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