指南实施和提高对围手术期意外低体温的认识：单组“前后”研究。
Guideline implementation and raising awareness for unintended perioperative hypothermia: Single-group 'before and after' study.
机构信息
Department of Anesthesiology and Reanimation, Health Sciences University, Gülhane Faculty of Medicine, Ankara-Turkey.
Department of Anesthesiology and Reanimation, Health Sciences University, Gülhane Training and Research Hospital, Ankara-Turkey.
出版信息
Ulus Travma Acil Cerrahi Derg. 2020 Sep;26(5):719-727. doi: 10.14744/tjtes.2020.55237.
BACKGROUND
Unintended Perioperative Hypothermia (UPH) is defined as a core body temperature less than 36°C. The Turkish Society of Anesthesiology and Reanimation [Türk Anesteziyoloji ve Reanimasyon Derneği (TARD)] published a 'Guideline for the Prevention of the Unintended Perioperative Hypothermia' in 2013. This study aims to decrease the incidence of unintended UPH in our hospital using a protocol, which is prepared according to the recommendations in the Guideline for the prevention of unintended perioperative hypothermia.
METHODS
A prospective quality improvement study was conducted with the protocol, which was prepared to decrease the incidence of unintended perioperative hypothermia in patients undergoing surgery. We measured and compared the perioperative hypothermia incidence before the implementation (November 24th, 2015 - January 15th, 2016) and after the implementation (April 6th, 2016 - July 21st, 2017).
RESULTS
The incidence of unintended perioperative hypothermia was 35% and 23.8% in the pre-implementation and postimplementation sections, respectively, and the difference was statistically significant (p=0.002).
CONCLUSION
The incidence of unintended perioperative hypothermia can be significantly decreased with the evidence-based implementations.
背景
术中意外低体温（Unintended Perioperative Hypothermia，简称 UPH）定义为核心体温低于 36°C。土耳其麻醉与复苏学会（Türk Anesteziyoloji ve Reanimasyon Derneği，简称 TARD）于 2013 年发布了《预防术中意外低体温指南》。本研究旨在通过使用根据该指南中预防意外围手术期低体温建议制定的方案，降低我院术中意外低体温的发生率。
方法
采用前瞻性质量改进研究方案，旨在降低行手术治疗患者围手术期低体温的发生率。我们测量并比较了方案实施前（2015 年 11 月 24 日至 2016 年 1 月 15 日）和实施后（2016 年 4 月 6 日至 2017 年 7 月 21 日）的围手术期低体温发生率。
结果
方案实施前和实施后的围手术期意外低体温发生率分别为 35%和 23.8%，差异具有统计学意义（p=0.002）。
结论
通过实施基于证据的方案，可以显著降低术中意外低体温的发生率。
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