Clinical Report: Risk Patterns of Intraoperative Hypothermia in VATS
Overview
This study analyzes intraoperative hypothermia trajectories in patients undergoing video-assisted thoracoscopic surgery (VATS). It identifies significant risk factors.
Background
Intraoperative hypothermia is a prevalent complication during VATS, with reported incidences as high as 78.3%. It can lead to various postoperative complications, including prolonged recovery and increased surgical site infections. Understanding the risk factors and dynamics of temperature changes is crucial for improving patient outcomes.
Data Highlights
Group
Number of Patients
Normothermic
138
Hypothermia Recovery
136
Hypothermia Non-Recovery
297
Key Findings
Each 500 mL increase in intraoperative infusion volume significantly increased the risk of being in the hypothermia-recovered group (OR = 1.570, P < 0.001).
Lower BMI was identified as a risk factor for the hypothermia non-recovery group (OR = 0.891, P = 0.003).
No significant differences were found in gender, age, surgery duration, anesthesia duration, or intraoperative blood loss (P > 0.05).
Three distinct temperature trajectories were identified: normothermic, hypothermia recovery, and hypothermia non-recovery.
Clinical Implications
Clinicians should monitor intraoperative temperatures continuously.
Conclusion
The findings provide insights into the risk factors associated with intraoperative hypothermia in VATS.
