Zhou Xiaosong,Hu Jing,Li Duoyi,et al.Influencing factors for perioperative hypothermia in children undergoing scoliosis correction surgery[J].Journal of Clinical Pediatric Surgery,,21():855-858.[doi:10.3760/cma.j.cn101785-202110002-011]
Influencing factors for perioperative hypothermia in children undergoing scoliosis correction surgery
- Abstract:
- Objective To explore the risk factors in children undergoing scoliosis correction surgery.Methods From January 2019 to January 2020, clinical data were reviewed for 200 children with scoliosis.According to whether hypothermia occurred intraoperatively, they were divided into two groups of hypothermia (n=147) and normal body temperature (n=53).Clinical characteristics of two groups were compared and the potential risk factors of hypothermia examined by multivariate Logistics regression model.Results Posterior spinal fusion was performed.Hypothermia was observed in 147 children (73.5%).The age of hypothermia group was 6(3, 12) years with 64 boys and 83 girls; normal body temperature group was 6(3, 11) years with 30 boys and 23 girls.No statistically significant inter-group difference existed in age, gender, weight, height, body mass index (BMI), type of scoliosis, anesthetic time, operative duration or count of fused vertebrae (all P>0.05).As compared with normal body temperature group, hypothermia group had more transfusion of blood, larger unit infusion volume and lower baseline body temperature (P < 0.05).Multivariate Logistics regression analysis indicated that large unit of infusion volume (OR=1.061, 95%CI:1.002-1.124) and count of fused vertebrae (OR=1.150, 95%CI:1.038-1.274) were independent risk factors for hypothermia.Baseline body temperature (OR=0.066, 95%CI:0.022-0.200) was an independent protective factor.Conclusion During scoliosis correction surgery, children with more fluids and more fused levels are at a higher risk of hypothermia.And maintaining a high baseline body temperature helps to minimize the occurrence of hypothermia.
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Memo
收稿日期:2021-10-05。
通讯作者:张建敏,Email:zjm428@sina.com