An Exploration of the Incidence of and Risk Factors for Unplanned Perioperative Hypothermia (UPH) in the Ambulatory Surgical Patient

2.50
Hdl Handle:
http://hdl.handle.net/10755/603168
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
An Exploration of the Incidence of and Risk Factors for Unplanned Perioperative Hypothermia (UPH) in the Ambulatory Surgical Patient
Other Titles:
The Aftermath of Operative Prodedures: Research Pertaining to Operative Outcomes [Session]
Author(s):
Hooper, Vallire D.
Lead Author STTI Affiliation:
Eta Psi
Author Details:
Vallire D. Hooper, RN, CPAN, FAAN, vallire.hooper@msj.org
Abstract:
Session presented on Sunday, November 8, 2015: Introduction:  Unplanned perioperative hypothermia (UPH) is a common occurrence in surgical patients in both inpatient and outpatient settings, and has been associated with a 68% increase in the incidence of surgical site infection (SSI).  The ASPAN Guideline for the Promotion of Perioperative Normothermia (Hooper, et al, 2010) recommends numerous perioperative interventions as a means of maintaining normothermia throughout the surgical continuum. Identification of the Problem:  Outpatient surgeries comprise 75% of all surgeries; however, the incidence of UPH in the ambulatory surgical population, as well as the relationship of warming interventions to the development of UPH in this population is not well elucidated.  Purpose of the Study:  The purpose of this study was to describe the incidence of UPH in an outpatient surgical population of a large regional-referral healthcare setting.  The effect of evidence-based interventions associated with the prevention of UPH was also explored.  Methodology:  A retrospective exploratory design was used.  Data were abstracted electronically from a purposive convenience sample of medical records.  Independent variables included all risk factors and confounding variables associated with the development of UPH.  Dependent variables included postoperative patient temperature and incidence of UPH.  Descriptive statistics included measures of central tendency and frequency measures.  Regression was used to explore the relationships of the independent variables to development of UPH.  Results:  7102 charts were electronically abstracted.  Mean age of the sample was 54.26 years.  39.2% were male; 60.8% were female.  51% of the sample was ASA II.  59.7% of patients received general anesthesia.  Mean first postoperative and last temperature was 97.9 0F.  Mean incidence of postoperative hypothermia was 1.0%.  Regression analysis indicated no significant predictors for first postoperative temp; however age, gender, ASA status, intraoperative forced-air use, preoperative temperature, BMI, and OR and surgical time were significant predictors (p=0.00-0.008) of last postoperative temperature.  Discussion/Conclusion:  Incidence of unplanned perioperative hypothermia (UPH) in this population was well below the incidence reported in the literature for the inpatient population.  Predictors of last postoperative temperature; however, were consistent with current national evidence-based guidelines.  Clinical and Research Implications:  While incidence of UPH in this population was minimal, perioperative vigilance regarding temperature management in the ambulatory surgery setting should be encouraged.  Future research into perioperative temperature trending in the ambulatory surgery population is also indicated.
Keywords:
Ambulatory Surgery; Unplanned Perioperative Hypothermia; Large data set analysis
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15C17
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleAn Exploration of the Incidence of and Risk Factors for Unplanned Perioperative Hypothermia (UPH) in the Ambulatory Surgical Patienten
dc.title.alternativeThe Aftermath of Operative Prodedures: Research Pertaining to Operative Outcomes [Session]en
dc.contributor.authorHooper, Vallire D.en
dc.contributor.departmentEta Psien
dc.author.detailsVallire D. Hooper, RN, CPAN, FAAN, vallire.hooper@msj.orgen
dc.identifier.urihttp://hdl.handle.net/10755/603168en
dc.description.abstractSession presented on Sunday, November 8, 2015: Introduction:  Unplanned perioperative hypothermia (UPH) is a common occurrence in surgical patients in both inpatient and outpatient settings, and has been associated with a 68% increase in the incidence of surgical site infection (SSI).  The ASPAN Guideline for the Promotion of Perioperative Normothermia (Hooper, et al, 2010) recommends numerous perioperative interventions as a means of maintaining normothermia throughout the surgical continuum. Identification of the Problem:  Outpatient surgeries comprise 75% of all surgeries; however, the incidence of UPH in the ambulatory surgical population, as well as the relationship of warming interventions to the development of UPH in this population is not well elucidated.  Purpose of the Study:  The purpose of this study was to describe the incidence of UPH in an outpatient surgical population of a large regional-referral healthcare setting.  The effect of evidence-based interventions associated with the prevention of UPH was also explored.  Methodology:  A retrospective exploratory design was used.  Data were abstracted electronically from a purposive convenience sample of medical records.  Independent variables included all risk factors and confounding variables associated with the development of UPH.  Dependent variables included postoperative patient temperature and incidence of UPH.  Descriptive statistics included measures of central tendency and frequency measures.  Regression was used to explore the relationships of the independent variables to development of UPH.  Results:  7102 charts were electronically abstracted.  Mean age of the sample was 54.26 years.  39.2% were male; 60.8% were female.  51% of the sample was ASA II.  59.7% of patients received general anesthesia.  Mean first postoperative and last temperature was 97.9 0F.  Mean incidence of postoperative hypothermia was 1.0%.  Regression analysis indicated no significant predictors for first postoperative temp; however age, gender, ASA status, intraoperative forced-air use, preoperative temperature, BMI, and OR and surgical time were significant predictors (p=0.00-0.008) of last postoperative temperature.  Discussion/Conclusion:  Incidence of unplanned perioperative hypothermia (UPH) in this population was well below the incidence reported in the literature for the inpatient population.  Predictors of last postoperative temperature; however, were consistent with current national evidence-based guidelines.  Clinical and Research Implications:  While incidence of UPH in this population was minimal, perioperative vigilance regarding temperature management in the ambulatory surgery setting should be encouraged.  Future research into perioperative temperature trending in the ambulatory surgery population is also indicated.en
dc.subjectAmbulatory Surgeryen
dc.subjectUnplanned Perioperative Hypothermiaen
dc.subjectLarge data set analysisen
dc.date.available2016-03-21T16:44:45Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:44:45Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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