High Incidence of Postoperative Hypothermia in Total Knee and Total Hip Arthroplasty

Leijtens, Borg; Koëter, M.; Kremers, Keetie; Koëter, Sander

doi:10.1016/j.arth.2012.10.006

Cited by 47 publications

(36 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our study confirms that hypothermia is a common issue for patients undergoing THA or TKA . It is well known that prewarming helps to prevent hypothermia .…”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

The Effectiveness of Four Intervention Methods for Preventing Inadvertent Perioperative Hypothermia During Total Knee or Total Hip Arthroplasty

Nordgren¹,

Hernborg²,

Hamberg³

et al. 2020

AORN Journal

View full text Add to dashboard Cite

Inadvertent perioperative hypothermia (IPH) occurs when a patient experiences a core temperature below 36° C (96.8° F) in perioperative settings and is a preventable risk factor for anesthesia‐ and surgery‐related complications. Forced‐air warming is an effective method to maintain normothermia. This study compared four interventions for preventing IPH for 120 patients undergoing primary elective unilateral total knee or total hip arthroplasty. The study was based on a time series nonequivalent comparison group design to investigate whether the incidence of IPH differed among treatment groups. We also sought to determine whether the patients’ preoperative perceptions of warmth or cold correlated with core body temperatures. Patients receiving convective warming and prewarming appeared to experience fewer IPH events than patients in the other study groups. This study suggests that hypothermia is a common issue for patients undergoing total knee or total hip arthroplasty and that it may be possible to reduce its frequency.

show abstract

“…Our study confirms that hypothermia is a common issue for patients undergoing THA or TKA . It is well known that prewarming helps to prevent hypothermia .…”

Section: Discussionsupporting

confidence: 86%

“…Our study confirms that hypothermia is a common issue for patients undergoing THA or TKA. 24,25 It is well known that prewarming helps to prevent hypothermia. 18,21,22,26 Our study shows that patients using a FAW gown who began prewarming on the nursing unit had a significantly higher core temperature throughout the perioperative period.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Four Intervention Methods for Preventing Inadvertent Perioperative Hypothermia During Total Knee or Total Hip Arthroplasty

Nordgren¹,

Hernborg²,

Hamberg³

et al. 2020

AORN Journal

View full text Add to dashboard Cite

show abstract

“…The incidence of perioperative hypothermia in orthopedic procedures has been reported to remain high, despite use of active rewarming devices. Leijtens et al 33 recently found that up to 28% of patients undergoing total knee arthroplasty and THA experienced perioperative hypothermia despite active rewarming. The current study's findings demonstrate an incidence of hypothermia lower than that reported by Leijtens et al, 33 possibly due to the nature of operative fixation of hip fractures.…”

Section: Discussionmentioning

confidence: 99%

“…Leijtens et al 33 recently found that up to 28% of patients undergoing total knee arthroplasty and THA experienced perioperative hypothermia despite active rewarming. The current study's findings demonstrate an incidence of hypothermia lower than that reported by Leijtens et al, 33 possibly due to the nature of operative fixation of hip fractures. On average, operative fixation of hip fractures typically has a shorter operative time and less surgical exposure compared with total joint arthroplasty procedures.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Hypothermia During Surgical Fixation of Hip Fractures

Frisch¹,

Pepper²,

Jildeh³

et al. 2016

Orthopedics

View full text Add to dashboard Cite

Hip fractures are common orthopedic injuries and are associated with significant morbidity/mortality. Intraoperative normothermia is recommended by national guidelines to minimize additional morbidity/mortality, but limited evidence exists regarding hypothermia's effect on orthopedic patients. The purpose of this study was to determine the incidence of intraoperative hypothermia in patients with operatively treated hip fractures and evaluate its effect on complications and outcomes. Retrospective chart review was performed on clinical records from 1541 consecutive patients who sustained a hip fracture and underwent operative fixation at the authors' institution between January 2005 and October 2013. A total of 1525 patients were included for analysis, excluding those with injuries requiring additional surgical intervention. Patient demographic data, surgery-specific data, postoperative complications, length of stay, and 30-day readmission were recorded. Patients with a mean intraoperative temperature less than 36°C were identified as hypothermic. Statistical analysis with univariate and multivariate logistic regression modeling evaluated associations with hypothermia and effect on complications/outcomes. The incidence of intraoperative hypothermia in operatively treated hip fractures was 17.0%. Hypothermia was associated with an increase in the rate of deep surgical-site infection (odds ratio, 3.30; 95% confidence interval, 1.19-9.14; P=.022). Lower body mass index and increasing age demonstrated increased association with hypothermia (P=.004 and P=.005, respectively). To the authors' knowledge, this is the first and largest study analyzing the effect of intraoperative hypothermia in orthopedic patients. In patients with hip fractures, the study's findings confirm evidence found in other surgical specialties that hypothermia may be associated with an increased risk of deep surgical-site infection and that lower body mass index and increasing age are risk factors for intraoperative hypothermia. [Orthopedics. 2016; 39(6):e1170-e1177.].

show abstract

“…[11]Affirmed that occurrence of perioperative hypothermia up to 90%, more recently [12] and [13] was recorded that the incidence of intraoperative hypothermia is about 4% to 72%. Many professional associations, such as the Association of periOperative Registered Nurses (AORN), and the National Institute for Health and Care Excellence (NICE) have made recommendations for preventing hypothermia and improving its management during the perioperative period.…”

Section: Discussionmentioning

confidence: 99%

Impact of Induced Normothermia on Occurrence of Post Anesthetic Shivering and Wound Infection among Patients Undergoing Abdominal Surgeries

Abdeltwab¹,

Hashem²,

Hassan³

et al. 2017

IOSR JNHS

View full text Add to dashboard Cite

show abstract

High Incidence of Postoperative Hypothermia in Total Knee and Total Hip Arthroplasty

Cited by 47 publications

References 17 publications

The Effectiveness of Four Intervention Methods for Preventing Inadvertent Perioperative Hypothermia During Total Knee or Total Hip Arthroplasty

The Effectiveness of Four Intervention Methods for Preventing Inadvertent Perioperative Hypothermia During Total Knee or Total Hip Arthroplasty

Intraoperative Hypothermia During Surgical Fixation of Hip Fractures

Impact of Induced Normothermia on Occurrence of Post Anesthetic Shivering and Wound Infection among Patients Undergoing Abdominal Surgeries

Contact Info

Product

Resources

About