The incidence and influencing factors of hypothermia in patients after transurethral prostatectomy: a systematic review and meta—analysis - Scorecard - MDSpire
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The incidence and influencing factors of hypothermia in patients after transurethral prostatectomy: a systematic review and meta—analysis
Clinical Scorecard: Incidence and Contributing Factors of Post-Transurethral Prostatectomy Hypothermia: A Systematic Review and Meta-Analysis
At a Glance
Category
Detail
Condition
Postoperative hypothermia following transurethral resection of the prostate (TURP)
Key Mechanisms
Heat loss due to extensive irrigation during TURP, diminished thermoregulatory capacity in older patients, surgical stress, and fluid flushing
Target Population
Patients undergoing TURP for benign prostatic hyperplasia
Care Setting
Perioperative and postoperative surgical care settings
Key Highlights
IPH occurs in approximately 50–90% of TURP procedures worldwide, with variability based on region and temperature management.
IPH increases risks of surgical site infections, delays wound healing, prolongs anesthesia effects, and leads to longer hospital stays and higher healthcare costs.
Older age, extensive irrigation with cold fluids, hemorrhage, and longer operation times are key risk factors for IPH in TURP patients.
Guideline-Based Recommendations
Diagnosis
Define perioperative hypothermia as core body temperature below 36.0 °C during surgery.
Monitor core temperature continuously during and after TURP procedures.
Management
Implement temperature management strategies including warming irrigation fluids.
Minimize heat loss during surgery through appropriate warming devices and protocols.
Address patient anxiety preoperatively to reduce risk factors.
Monitoring & Follow-up
Regularly assess body temperature perioperatively in TURP patients.
Monitor for signs of hypothermia-related complications such as delayed wound healing and infections.
Risks
Recognize increased susceptibility in older patients and those with underlying health conditions.
Be aware that hypothermia can prolong anesthesia effects and increase postoperative complications.
Patient & Prescribing Data
Patients undergoing TURP for benign prostatic hyperplasia, predominantly older males.
Temperature management interventions should be tailored to reduce IPH incidence and improve postoperative outcomes.
Clinical Best Practices
Use warmed irrigation fluids during TURP to reduce heat loss.
Employ perioperative warming devices to maintain normothermia.
Screen and manage preoperative anxiety to mitigate hypothermia risk.
Conduct systematic temperature monitoring during and after surgery.
Consider patient age and comorbidities when planning perioperative care.
