{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T03:13:44Z","timestamp":1771298024530,"version":"3.50.1"},"reference-count":35,"publisher":"PeerJ","license":[{"start":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:00:00Z","timestamp":1734307200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Although maintaining a stable body temperature during the perioperative period is crucial for the recovery of neonates, hypothermia frequently occurs during surgical procedures in this vulnerable population. A comprehensive analysis of intraoperative details, including medical history and monitoring, is therefore essential for understanding temperature variations and identifying risk factors for severe hypothermia.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Objective<\/jats:title>\n<jats:p>In this study, we delineated the characteristic patterns of intraoperative temperature fluctuations in neonates and determined the risk factors impacting the severity of hypothermia.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>We conducted a retrospective, single-center study, enrolling 648 subjects who underwent surgery under general anesthesia and collected demographic, perioperative, and intraoperative data.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Intraoperative hypothermia occurred in 79.17% of the neonates. Significant risk factors for severe hypothermia included surgery type (OR, 1.183; 95%, CI [1.028\u20131.358]; <jats:italic>p<\/jats:italic> = 0.018), preoperative weight (OR, 0.556; 95% CI [0.412\u20130.748]; <jats:italic>p<\/jats:italic> &lt; 0.01), infusion and transfusion volume (mL\/kg) (OR, 1.011; 95% CI [1.001\u20131.022]; <jats:italic>p<\/jats:italic> = 0.018), and duration of hypothermia (OR, 1.011; 95% CI [1.007\u20131.014]; <jats:italic>p<\/jats:italic> &lt; 0.01). Preterm neonates experienced a greater temperature drop than did full-term neonates. The nadir of intraoperative temperature occurred approximately 90 min after surgery, followed by a brief stabilization period and a slow recovery process.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The significant incidence of intraoperative hypothermia in neonates highlights the need for efficient strategies that reduce both the frequency and severity of this condition.<\/jats:p>\n<\/jats:sec>","DOI":"10.7717\/peerj.18702","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T08:35:10Z","timestamp":1734338110000},"page":"e18702","source":"Crossref","is-referenced-by-count":2,"title":["Analysis of the characteristic patterns and risk factors impacting the severity of intraoperative hypothermia in neonates"],"prefix":"10.7717","volume":"12","author":[{"given":"Kun","family":"Dai","sequence":"first","affiliation":[{"name":"Department of Nursing, Guangdong Women and Children\u2019s Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuanling","family":"Liu","sequence":"additional","affiliation":[{"name":"Administration Office, Guangdong Women and Children\u2019s Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lijiao","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Nursing, Guangdong Women and Children\u2019s Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaxuan","family":"Mai","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Department, Guangdong Women and Children\u2019s Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingjing","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Nursing, Guangdong Women and Children\u2019s Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Ruan","sequence":"additional","affiliation":[{"name":"Department of Nursing, Guangdong Women and Children\u2019s Hospital, Guangzhou, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4443","published-online":{"date-parts":[[2024,12,16]]},"reference":[{"issue":"9","key":"10.7717\/peerj.18702\/ref-1","doi-asserted-by":"publisher","first-page":"e210775","DOI":"10.1001\/jamapediatrics.2021.0775","article-title":"Delivery room interventions for hypothermia in preterm neonates: a systematic review and network meta-analysis","volume":"175","author":"Abiramalatha","year":"2021","journal-title":"JAMA Pediatrics"},{"issue":"9","key":"10.7717\/peerj.18702\/ref-2","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.iccn.2018.02.008","article-title":"Therapeutic hypothermia and pressure ulcer risk in critically ill intensive care patients: a retrospective study","volume":"46","author":"Ahtiala","year":"2018","journal-title":"Intensive & Critical Care Nursing"},{"issue":"2","key":"10.7717\/peerj.18702\/ref-3","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1016\/j.aorn.2016.12.002","article-title":"Preventing unplanned perioperative hypothermia in children","volume":"105","author":"Beedle","year":"2017","journal-title":"AORN Journal"},{"key":"10.7717\/peerj.18702\/ref-4","article-title":"General anesthesia in neonates and children: agents and techniques. 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