Research progress on predictive models for inadvertent perioperative hypothermia in adult_West China Medical Journal

Authors：

ZHANG Zeqiong ¹ , DUAN Liyang ¹ , HE Lingxiao ¹ , LIU Yuwei ² , GONG Renrong ² ,  LIAO Dengbin ¹

1. Trauma Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of General Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIAO Dengbin, Email: jiuyou2003@163.com

Keywords：

Inadvertent perioperative hypothermia; predictive model; risk factor

DOI：

10.7507/1002-0179.202406009

Video：

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Inadvertent perioperative hypothermia (IPH) is one of the common complications of surgery, which can lead to a series of adverse consequences. In recent years, with the deepening development of precision medicine concepts, establishing predictive models to identify the risk of IPH early and implementing targeted interventions has become an important research direction for perioperative management. This article reviews the current research status of IPH predictive models in adults, focusing on the research design, modeling methods, selection of prediction factors, and prediction performance of different predictive models. It also explores the advantages and limitations of existing models, aiming to provide references for the selection, application, and optimization of relevant predictive models.

Citation： ZHANG Zeqiong, DUAN Liyang, HE Lingxiao, LIU Yuwei, GONG Renrong, LIAO Dengbin. Research progress on predictive models for inadvertent perioperative hypothermia in adult. West China Medical Journal, 2025, 40(8): 1346-1350. doi: 10.7507/1002-0179.202406009 Copy

1.	Sessler DI. Mild perioperative hypothermia. N Engl J Med, 1997, 336(24): 1730-1737.
2.	陈思宇. 全身麻醉患者苏醒室内低体温的危险因素及预测模型构建. 上海: 中国人民解放军海军军医大学, 2020: 49.
3.	谢言虎, 陈旭, 吴运香, 等. 术中低体温危险因素分析. 临床麻醉学杂志, 2016, 32(9): 925-927.
4.	陈罡, 覃梦洁, 徐文青, 等. 苏醒室入室低体温胸腔镜患者围术期特征的回顾性分析. 军事护理, 2023, 40(2): 50-53.
5.	Güven B, İbrahimoğlu Ö, Kuş İ. Inadvertent perioperative hypothermia in ambulatory surgery patients: incidence, risk factors, and prevention initiatives. J Perianesth Nurs, 2023, 38(5): 792-798.
6.	Wongyingsinn M, Pookprayoon V. Incidence and associated factors of perioperative hypothermia in adult patients at a university-based, tertiary care hospital in Thailand. BMC Anesthesiol, 2023, 23(1): 137.
7.	Ruetzler K, Kurz A. Consequences of perioperative hypothermia. Handb Clin Neurol, 2018, 157: 687-697.
8.	Garceau C, Cosgrove MS, Gonzalez K. Inadvertent perioperative hypothermia. AANA J, 2023, 91(4): 303-309.
9.	Koyuncu A, Güngör S, Yava A. Knowledge and practices of surgical nurses on inadvertent perioperative hypothermia. Florence Nightingale J Nurs, 2023, 31(1): 18-25.
10.	Ranstam J, Cook JA, Collins GS. Clinical prediction models. Br J Surg, 2016, 103(13): 1886.
11.	Moons KG, Altman DG, Reitsma JB, et al. Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): explanation and elaboration. Ann Intern Med, 2015, 162(1): W1-W73.
12.	国家麻醉专业质量控制中心. 围术期患者低体温防治专家共识(2023 版). 临床麻醉学杂志, 2023, 39(7): 764-771.
13.	周宁宁, 何敏芝, 许文伟, 等. 全身麻醉患者术中意外低体温预警指标筛选及应用效果分析. 医院管理论坛, 2021, 38(4): 20-24, 28.
14.	孙亮, 高倩, 王广, 等. 麻醉后恢复室期间全身麻醉患者发生低体温的影响因素. 中华医学杂志, 2021, 101(1): 52-56.
15.	Ukrani RD, Arif A, Sadruddin A, et al. Intraoperative hypothermia in patients undergoing total knee arthroplasty: a cross-sectional study from a developing country. BMC Musculoskelet Disord, 2021, 22(1): 504.
16.	Xu R, Hu X, Sun Z, et al. Incidence of postoperative hypothermia and shivering and risk factors in patients undergoing malignant tumor surgery: a retrospective study. BMC Anesthesiol, 2023, 23(1): 31.
17.	Sessler DI. Perioperative thermoregulation and heat balance. Lancet, 2016, 387(10038): 2655-2664.
18.	Yi J, Xiang Z, Deng X, et al. Incidence of inadvertent intraoperative hypothermia and its risk factors in patients undergoing general anesthesia in Beijing: a prospective regional survey. PLoS One, 2015, 10(9): e0136136.
19.	Birch DW, Dang JT, Switzer NJ, et al. Heated insufflation with or without humidification for laparoscopic abdominal surgery. Cochrane Database Syst Rev, 2016, 10(10): CD007821.
20.	Shaw CA, Steelman VM, DeBerg J, et al. Effectiveness of active and passive warming for the prevention of inadvertent hypothermia in patients receiving neuraxial anesthesia: a systematic review and meta-analysis of randomized controlled trials. J Clin Anesth, 2017, 38: 93-104.
21.	龚晓媛, 王旭, 陆伦根, 等. 全身麻醉下经内镜逆行胰胆管造影术中低体温预测危险因素的研究. 胃肠病学, 2022, 27(11): 641-645.
22.	Lee C, Park S, Kim B, et al. Effects of female reproductive hormone levels on inadvertent intraoperative hypothermia during laparoscopic gynecologic surgery: a retrospective study. Medicina (Kaunas), 2021, 57(11): 1255.
23.	Sagiroglu G, Ozturk GA, Baysal A, et al. Inadvertent perioperative hypothermia and important risk factors during major abdominal surgeries. J Coll Physicians Surg Pak, 2020, 30(2): 123-128.
24.	Lynch S, Dixon J, Leary D. Reducing the risk of unplanned perioperative hypothermia. AORN J, 2010, 92(5): 553-562, quiz 563-565.
25.	Akers JL, Dupnick AC, Hillman EL, et al. Inadvertent perioperative hypothermia risks and postoperative complications: a retrospective study. AORN J, 2019, 109(6): 741-747.
26.	李丽, 颜艳, 李悦, 等. 成人手术患者术中低体温风险评估量表的编制及信效度检验. 齐鲁护理杂志, 2021, 27(24): 39-43.
27.	柯稳, 高兴莲, 余文静, 等. 成人术中低体温风险评估量表的研制及检验. 护理学杂志, 2022, 37(18): 43-46.
28.	项海燕, 黄立峰, 钱维明, 等. 全身麻醉手术患者围手术期低体温风险评估量表的构建与信效度检验. 护理与康复, 2022, 21(2): 21-26.
29.	Kasai T, Hirose M, Yaegashi K, et al. Preoperative risk factors of intraoperative hypothermia in major surgery under general anesthesia. Anesth Analg, 2002, 95(5): 1381-1383.
30.	Yi J, Zhan L, Lei Y, et al. Establishment and validation of a prediction equation to estimate risk of intraoperative hypothermia in patients receiving general anesthesia. Sci Rep, 2017, 7(1): 13927.
31.	史卓颖, 张海伟, 杜祥飞. 全身麻醉病人术中低体温发生预测模型的建立. 护理研究, 2021, 35(2): 246-249.
32.	Rincón DA, Valero JF, Eslava-Schmalbach J. Construction and validation of a model to predict intraoperative hypothermia. Rev Esp Anestesiol Reanim, 2008, 55(7): 401-406.
33.	陈思宇, 薄禄龙, 徐文, 等. 全身麻醉患者苏醒室内低体温发生情况及危险因素研究. 临床军医杂志, 2019, 47(4): 335-337, 341.
34.	孔青, 朱薇薇, 潘迎春. 麻醉恢复室低体温发生的危险因素及风险预测模型分析. 护士进修杂志, 2021, 36(6): 563-566.
35.	杨曦仑, 孙雪晨, 孔繁一, 等. 老年全身麻醉非心脏手术后发生低体温的独立危险因素筛选及预测模型构建. 中国老年学杂志, 2022, 42(16): 3953-3955.
36.	Hu Z, Li W, Liang C, et al. Risk factors and prediction model for inadvertent intraoperative hypothermia in patients undergoing robotic surgery: a retrospective analysis. Sci Rep, 2023, 13(1): 3687.
37.	曹立源, 范勤勤, 黄敬英. 基于特征选择和 XGBoost 优化的术中低体温预测. 数据采集与处理, 2022, 37(1): 134-146.
38.	项海燕, 黄立峰, 钱维明, 等. 基于深度学习的全身麻醉患者围术期非计划低体温预测模型的构建与应用. 中华急诊医学杂志, 2022, 31(8): 1116-1120.

1. Sessler DI. Mild perioperative hypothermia. N Engl J Med, 1997, 336(24): 1730-1737.
2. 陈思宇. 全身麻醉患者苏醒室内低体温的危险因素及预测模型构建. 上海: 中国人民解放军海军军医大学, 2020: 49.
3. 谢言虎, 陈旭, 吴运香, 等. 术中低体温危险因素分析. 临床麻醉学杂志, 2016, 32(9): 925-927.
4. 陈罡, 覃梦洁, 徐文青, 等. 苏醒室入室低体温胸腔镜患者围术期特征的回顾性分析. 军事护理, 2023, 40(2): 50-53.
5. Güven B, İbrahimoğlu Ö, Kuş İ. Inadvertent perioperative hypothermia in ambulatory surgery patients: incidence, risk factors, and prevention initiatives. J Perianesth Nurs, 2023, 38(5): 792-798.
6. Wongyingsinn M, Pookprayoon V. Incidence and associated factors of perioperative hypothermia in adult patients at a university-based, tertiary care hospital in Thailand. BMC Anesthesiol, 2023, 23(1): 137.
7. Ruetzler K, Kurz A. Consequences of perioperative hypothermia. Handb Clin Neurol, 2018, 157: 687-697.
8. Garceau C, Cosgrove MS, Gonzalez K. Inadvertent perioperative hypothermia. AANA J, 2023, 91(4): 303-309.
9. Koyuncu A, Güngör S, Yava A. Knowledge and practices of surgical nurses on inadvertent perioperative hypothermia. Florence Nightingale J Nurs, 2023, 31(1): 18-25.
10. Ranstam J, Cook JA, Collins GS. Clinical prediction models. Br J Surg, 2016, 103(13): 1886.
11. Moons KG, Altman DG, Reitsma JB, et al. Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): explanation and elaboration. Ann Intern Med, 2015, 162(1): W1-W73.
12. 国家麻醉专业质量控制中心. 围术期患者低体温防治专家共识(2023 版). 临床麻醉学杂志, 2023, 39(7): 764-771.
13. 周宁宁, 何敏芝, 许文伟, 等. 全身麻醉患者术中意外低体温预警指标筛选及应用效果分析. 医院管理论坛, 2021, 38(4): 20-24, 28.
14. 孙亮, 高倩, 王广, 等. 麻醉后恢复室期间全身麻醉患者发生低体温的影响因素. 中华医学杂志, 2021, 101(1): 52-56.
15. Ukrani RD, Arif A, Sadruddin A, et al. Intraoperative hypothermia in patients undergoing total knee arthroplasty: a cross-sectional study from a developing country. BMC Musculoskelet Disord, 2021, 22(1): 504.
16. Xu R, Hu X, Sun Z, et al. Incidence of postoperative hypothermia and shivering and risk factors in patients undergoing malignant tumor surgery: a retrospective study. BMC Anesthesiol, 2023, 23(1): 31.
17. Sessler DI. Perioperative thermoregulation and heat balance. Lancet, 2016, 387(10038): 2655-2664.
18. Yi J, Xiang Z, Deng X, et al. Incidence of inadvertent intraoperative hypothermia and its risk factors in patients undergoing general anesthesia in Beijing: a prospective regional survey. PLoS One, 2015, 10(9): e0136136.
19. Birch DW, Dang JT, Switzer NJ, et al. Heated insufflation with or without humidification for laparoscopic abdominal surgery. Cochrane Database Syst Rev, 2016, 10(10): CD007821.
20. Shaw CA, Steelman VM, DeBerg J, et al. Effectiveness of active and passive warming for the prevention of inadvertent hypothermia in patients receiving neuraxial anesthesia: a systematic review and meta-analysis of randomized controlled trials. J Clin Anesth, 2017, 38: 93-104.
21. 龚晓媛, 王旭, 陆伦根, 等. 全身麻醉下经内镜逆行胰胆管造影术中低体温预测危险因素的研究. 胃肠病学, 2022, 27(11): 641-645.
22. Lee C, Park S, Kim B, et al. Effects of female reproductive hormone levels on inadvertent intraoperative hypothermia during laparoscopic gynecologic surgery: a retrospective study. Medicina (Kaunas), 2021, 57(11): 1255.
23. Sagiroglu G, Ozturk GA, Baysal A, et al. Inadvertent perioperative hypothermia and important risk factors during major abdominal surgeries. J Coll Physicians Surg Pak, 2020, 30(2): 123-128.
24. Lynch S, Dixon J, Leary D. Reducing the risk of unplanned perioperative hypothermia. AORN J, 2010, 92(5): 553-562, quiz 563-565.
25. Akers JL, Dupnick AC, Hillman EL, et al. Inadvertent perioperative hypothermia risks and postoperative complications: a retrospective study. AORN J, 2019, 109(6): 741-747.
26. 李丽, 颜艳, 李悦, 等. 成人手术患者术中低体温风险评估量表的编制及信效度检验. 齐鲁护理杂志, 2021, 27(24): 39-43.
27. 柯稳, 高兴莲, 余文静, 等. 成人术中低体温风险评估量表的研制及检验. 护理学杂志, 2022, 37(18): 43-46.
28. 项海燕, 黄立峰, 钱维明, 等. 全身麻醉手术患者围手术期低体温风险评估量表的构建与信效度检验. 护理与康复, 2022, 21(2): 21-26.
29. Kasai T, Hirose M, Yaegashi K, et al. Preoperative risk factors of intraoperative hypothermia in major surgery under general anesthesia. Anesth Analg, 2002, 95(5): 1381-1383.
30. Yi J, Zhan L, Lei Y, et al. Establishment and validation of a prediction equation to estimate risk of intraoperative hypothermia in patients receiving general anesthesia. Sci Rep, 2017, 7(1): 13927.
31. 史卓颖, 张海伟, 杜祥飞. 全身麻醉病人术中低体温发生预测模型的建立. 护理研究, 2021, 35(2): 246-249.
32. Rincón DA, Valero JF, Eslava-Schmalbach J. Construction and validation of a model to predict intraoperative hypothermia. Rev Esp Anestesiol Reanim, 2008, 55(7): 401-406.
33. 陈思宇, 薄禄龙, 徐文, 等. 全身麻醉患者苏醒室内低体温发生情况及危险因素研究. 临床军医杂志, 2019, 47(4): 335-337, 341.
34. 孔青, 朱薇薇, 潘迎春. 麻醉恢复室低体温发生的危险因素及风险预测模型分析. 护士进修杂志, 2021, 36(6): 563-566.
35. 杨曦仑, 孙雪晨, 孔繁一, 等. 老年全身麻醉非心脏手术后发生低体温的独立危险因素筛选及预测模型构建. 中国老年学杂志, 2022, 42(16): 3953-3955.
36. Hu Z, Li W, Liang C, et al. Risk factors and prediction model for inadvertent intraoperative hypothermia in patients undergoing robotic surgery: a retrospective analysis. Sci Rep, 2023, 13(1): 3687.
37. 曹立源, 范勤勤, 黄敬英. 基于特征选择和 XGBoost 优化的术中低体温预测. 数据采集与处理, 2022, 37(1): 134-146.
38. 项海燕, 黄立峰, 钱维明, 等. 基于深度学习的全身麻醉患者围术期非计划低体温预测模型的构建与应用. 中华急诊医学杂志, 2022, 31(8): 1116-1120.

West China Medical Journal

Research progress on predictive models for inadvertent perioperative hypothermia in adult

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