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.	陳思宇. 全身麻醉患者蘇醒室內低體溫的危險因素及預測模型構建. 上海: 中國人民解放軍海軍軍醫大學, 2020: 49.
3.	謝言虎, 陳旭, 吳運香, 等. 術中低體溫危險因素分析. 臨床麻醉學雜志, 2016, 32(9): 925-927.
4.	陳罡, 覃夢潔, 徐文青, 等. 蘇醒室入室低體溫胸腔鏡患者圍術期特征的回顧性分析. 軍事護理, 2023, 40(2): 50-53.
5.	Güven B, ?brahimo?lu ?, Ku? ?. 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, Güng?r 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.	國家麻醉專業質量控制中心. 圍術期患者低體溫防治專家共識(2023 版). 臨床麻醉學雜志, 2023, 39(7): 764-771.
13.	周寧寧, 何敏芝, 許文偉, 等. 全身麻醉患者術中意外低體溫預警指標篩選及應用效果分析. 醫院管理論壇, 2021, 38(4): 20-24, 28.
14.	孫亮, 高倩, 王廣, 等. 麻醉后恢復室期間全身麻醉患者發生低體溫的影響因素. 中華醫學雜志, 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.	龔曉媛, 王旭, 陸倫根, 等. 全身麻醉下經內鏡逆行胰膽管造影術中低體溫預測危險因素的研究. 胃腸病學, 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.	李麗, 顏艷, 李悅, 等. 成人手術患者術中低體溫風險評估量表的編制及信效度檢驗. 齊魯護理雜志, 2021, 27(24): 39-43.
27.	柯穩, 高興蓮, 余文靜, 等. 成人術中低體溫風險評估量表的研制及檢驗. 護理學雜志, 2022, 37(18): 43-46.
28.	項海燕, 黃立峰, 錢維明, 等. 全身麻醉手術患者圍手術期低體溫風險評估量表的構建與信效度檢驗. 護理與康復, 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.	史卓穎, 張海偉, 杜祥飛. 全身麻醉病人術中低體溫發生預測模型的建立. 護理研究, 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.	陳思宇, 薄祿龍, 徐文, 等. 全身麻醉患者蘇醒室內低體溫發生情況及危險因素研究. 臨床軍醫雜志, 2019, 47(4): 335-337, 341.
34.	孔青, 朱薇薇, 潘迎春. 麻醉恢復室低體溫發生的危險因素及風險預測模型分析. 護士進修雜志, 2021, 36(6): 563-566.
35.	楊曦侖, 孫雪晨, 孔繁一, 等. 老年全身麻醉非心臟手術后發生低體溫的獨立危險因素篩選及預測模型構建. 中國老年學雜志, 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, 黃敬英. 基于特征選擇和 XGBoost 優化的術中低體溫預測. 數據采集與處理, 2022, 37(1): 134-146.
38.	項海燕, 黃立峰, 錢維明, 等. 基于深度學習的全身麻醉患者圍術期非計劃低體溫預測模型的構建與應用. 中華急診醫學雜志, 2022, 31(8): 1116-1120.

1. Sessler DI. Mild perioperative hypothermia. N Engl J Med, 1997, 336(24): 1730-1737.
2. 陳思宇. 全身麻醉患者蘇醒室內低體溫的危險因素及預測模型構建. 上海: 中國人民解放軍海軍軍醫大學, 2020: 49.
3. 謝言虎, 陳旭, 吳運香, 等. 術中低體溫危險因素分析. 臨床麻醉學雜志, 2016, 32(9): 925-927.
4. 陳罡, 覃夢潔, 徐文青, 等. 蘇醒室入室低體溫胸腔鏡患者圍術期特征的回顧性分析. 軍事護理, 2023, 40(2): 50-53.
5. Güven B, ?brahimo?lu ?, Ku? ?. 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, Güng?r 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. 國家麻醉專業質量控制中心. 圍術期患者低體溫防治專家共識(2023 版). 臨床麻醉學雜志, 2023, 39(7): 764-771.
13. 周寧寧, 何敏芝, 許文偉, 等. 全身麻醉患者術中意外低體溫預警指標篩選及應用效果分析. 醫院管理論壇, 2021, 38(4): 20-24, 28.
14. 孫亮, 高倩, 王廣, 等. 麻醉后恢復室期間全身麻醉患者發生低體溫的影響因素. 中華醫學雜志, 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. 龔曉媛, 王旭, 陸倫根, 等. 全身麻醉下經內鏡逆行胰膽管造影術中低體溫預測危險因素的研究. 胃腸病學, 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. 李麗, 顏艷, 李悅, 等. 成人手術患者術中低體溫風險評估量表的編制及信效度檢驗. 齊魯護理雜志, 2021, 27(24): 39-43.
27. 柯穩, 高興蓮, 余文靜, 等. 成人術中低體溫風險評估量表的研制及檢驗. 護理學雜志, 2022, 37(18): 43-46.
28. 項海燕, 黃立峰, 錢維明, 等. 全身麻醉手術患者圍手術期低體溫風險評估量表的構建與信效度檢驗. 護理與康復, 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. 史卓穎, 張海偉, 杜祥飛. 全身麻醉病人術中低體溫發生預測模型的建立. 護理研究, 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. 陳思宇, 薄祿龍, 徐文, 等. 全身麻醉患者蘇醒室內低體溫發生情況及危險因素研究. 臨床軍醫雜志, 2019, 47(4): 335-337, 341.
34. 孔青, 朱薇薇, 潘迎春. 麻醉恢復室低體溫發生的危險因素及風險預測模型分析. 護士進修雜志, 2021, 36(6): 563-566.
35. 楊曦侖, 孫雪晨, 孔繁一, 等. 老年全身麻醉非心臟手術后發生低體溫的獨立危險因素篩選及預測模型構建. 中國老年學雜志, 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, 黃敬英. 基于特征選擇和 XGBoost 優化的術中低體溫預測. 數據采集與處理, 2022, 37(1): 134-146.
38. 項海燕, 黃立峰, 錢維明, 等. 基于深度學習的全身麻醉患者圍術期非計劃低體溫預測模型的構建與應用. 中華急診醫學雜志, 2022, 31(8): 1116-1120.

West China Medical Journal

Research progress on predictive models for inadvertent perioperative hypothermia in adult

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