Perioperative hypothermia during hip fracture surgery: an observational study

Gurunathan, Usha, Stonell, Christopher and Fulbrook, Paul (2017) Perioperative hypothermia during hip fracture surgery: an observational study. Journal of Evaluation in Clinical Practice, 23 4: 762-766. doi:10.1111/jep.12712

Author Gurunathan, Usha
Stonell, Christopher
Fulbrook, Paul
Title Perioperative hypothermia during hip fracture surgery: an observational study
Journal name Journal of Evaluation in Clinical Practice   Check publisher's open access policy
ISSN 1365-2753
Publication date 2017-02-16
Year available 2010
Sub-type Article (original research)
DOI 10.1111/jep.12712
Open Access Status Not yet assessed
Volume 23
Issue 4
Start page 762
End page 766
Total pages 5
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Rationale: Elderly patients are at high risk of accidental perioperative hypothermia. The primary objective of this study was to measure the changes in body temperature and the incidence of hypothermia in elderly patients undergoing hip fracture surgery.

Methods: We conducted a prospective observational study on all adult patients undergoing surgery for fractured neck of femur between December 2013 and July 2014. We monitored their temperatures in different perioperative areas at multiple time points and also noted the warming methods used.

Results: Eighty-seven patients were included in this study. A significant drop in body temperature (0.7°C, 95% CI: 0.6-0.9, P < 0.001) occurred from their arrival at the operating theatre until their arrival at the recovery room. A significant drop of 0.2°C (95% CI: 0.1-0.4, P < 0.001) was observed at the holding bay area. One third of the patients were noted to be hypothermic when they arrived at the recovery room.

Conclusion: These results indicate that despite the use of active warming methods for most patients, significant hypothermia is still an issue amongst elderly patients undergoing hip fracture surgery. Further improvement is necessary to prevent hypothermia in this high-risk group of patients.
Keyword Aged
Body temperature
Hip fracture
Perioperative period
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID RO1 NS38554
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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