{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:40:25Z","timestamp":1787071225074,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Patients undergoing oesophagectomies are at risk of intraoperative hypothermia. The study aims to determine the incidence of hypothermia during oesophagectomy surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This observational bidirectional study evaluated 266 adult patients (175 retrospective and 91 prospective) undergoing elective oesophagectomy at a tertiary care centre between 2019 and 2022. Intraoperative core temperature was monitored hourly using a nasopharyngeal probe. Postoperative complications were recorded until discharge. Logistic regression analysis assessed the association between the incidence of hypothermia and perioperative variables. Those factors found significant in the simple logistic regression were then subjected to multiple logistic regression. A goodness-of-fit and sensitivity analysis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The incidence of intraoperative hypothermia (core temperature &lt;36\u00b0C) was 90.6% [95% confidence interval (CI): 87, 94]. Nearly 60% of patients were found to be hypothermic before the surgery began. The incidence of clinically significant hypothermia (CSH) (core temperature &lt;35\u00b0C) was 32.3% (95% CI: 30, 40). The perioperative factors significantly and independently associated with intraoperative hypothermia were preoperative significant weight loss [odds ratio (OR): 2.03, 95% CI: 1.17, 3.52,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.012] and intraoperative requirement of vasopressors (OR: 2.76, 95% CI: 1.10, 6.93,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.030). We found no association between intraoperative hypothermia and postoperative complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The study recorded a high incidence of intraoperative hypothermia during oesophagectomy surgeries. Hypothermia began in the preoperative period for nearly two-thirds of patients. Factors associated with CSH included preoperative significant weight loss and the intraoperative need for vasopressors. No significant association was found with postoperative complications and discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_382_25","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T16:00:14Z","timestamp":1763481614000},"page":"1376-1383","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Incidence, causes, and effects of intraoperative hypothermia during elective oesophagectomy at a tertiary care centre- An observational study"],"prefix":"10.4103","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0850-2913","authenticated-orcid":false,"given":"Swapnil Y","family":"Parab","sequence":"first","affiliation":[{"name":"Professor, Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7416-3397","authenticated-orcid":false,"given":"Sargam","family":"Kant","sequence":"additional","affiliation":[{"name":"Fellow in Thoracic Anaesthesia, Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7188-0207","authenticated-orcid":false,"given":"Madhavi","family":"Shetmahajan","sequence":"additional","affiliation":[{"name":"Professor, Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1004-5264","authenticated-orcid":false,"given":"Priya","family":"Ranganathan","sequence":"additional","affiliation":[{"name":"Professor, Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"R1-20260420","first-page":"80","article-title":"Incidence and risk factors of peri-operative hypothermia in adults undergoing cancer surgery- A quality improvement audit","volume":"2","author":"Amin","year":"2025","journal-title":"J Onco-Anaesthesia Periop Med"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1186\/s12871-023-02084-2","article-title":"Incidence and associated factors of perioperative hypothermia in adult patients at a university-based, tertiary care hospital in Thailand","volume":"23","author":"Wongyingsinn","year":"2023","journal-title":"BMC 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factors","volume":"75","author":"Sari","year":"2021","journal-title":"Int J Clin Pract"},{"key":"R6-20260420","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1213\/ANE.0000000000004022","article-title":"Postoperative myocardial injury in middle-aged and elderly patients following curative resection of esophageal cancer with aggressive or standard body temperature management: A randomized controlled trial","volume":"129","author":"Zhang","year":"2019","journal-title":"Anesth Analg"},{"key":"R7-20260420","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s12871-020-0953-x","article-title":"Prevalence and multivariate factors associated with inadvertent intraoperative hypothermia in video-assisted thoracoscopic surgery: A single-centre retrospective study","volume":"20","author":"Li","year":"2020","journal-title":"BMC 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strategies","volume":"10","author":"Shen","year":"2024","journal-title":"Heliyon"},{"key":"R11-20260420","doi-asserted-by":"crossref","first-page":"321","DOI":"10.33160\/yam.2024.11.007","article-title":"The influence of total fat mass and skeletal muscle mass index on the occurrence of perioperative hypothermia in patients undergoing open gastrectomy","volume":"67","author":"Amada","year":"2024","journal-title":"Yonago Acta Med"},{"key":"R12-20260420","doi-asserted-by":"crossref","first-page":"231","DOI":"10.3390\/diseases13080231","article-title":"Optimising perioperative care in esophageal surgery: The EUropean PErioperative MEdical Networking (EUPEMEN) Collaborative for Esophagectomy","volume":"13","author":"Ioannidis","year":"2025","journal-title":"Diseases"},{"key":"R13-20260420","doi-asserted-by":"crossref","first-page":"103059","DOI":"10.1016\/j.amsu.2021.103059","article-title":"Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review","volume":"72","author":"Simegn","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"R14-20260420","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1007\/s10388-020-00743-8","article-title":"Efficacy of prewarming prophylaxis method for intraoperative hypothermia during thoracoscopic esophagectomy","volume":"17","author":"Okada","year":"2020","journal-title":"Esophagus"},{"key":"R15-20260420","doi-asserted-by":"crossref","first-page":"1799","DOI":"10.1016\/S0140-6736(22)00560-8","article-title":"Aggressive intraoperative warming versus routine thermal management during non-cardiac surgery (PROTECT): A multicentre, parallel group, superiority trial","volume":"399","author":"Sessler","year":"2022","journal-title":"Lancet"},{"key":"R16-20260420","doi-asserted-by":"crossref","first-page":"1157392","DOI":"10.3389\/fmed.2023.1157392","article-title":"Aggressive intraoperative warming and postoperative pulmonary complications in elderly patients recovering from esophageal cancer surgery: Sub-analysis of a randomized trial","volume":"10","author":"Lu","year":"2023","journal-title":"Front Med (Lausanne)"}],"container-title":["Indian Journal of 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