Perioperative temperature monitoring for patient safety: A period prevalence study of five hospitals

• DOI: 10.1016/j.ijnurstu.2023.104508
• Publication Date: 2023-04-28T08:16:10Z
• Authors: Judy Munday; Alana Delaforce; Penny Heidke; Sasha Rademakers; David Sturgess; Jaime Williams; Clint Douglas
• Keywords: Adult; Monitoring; Vital signs; Temperature; Australia; 610; Hypothermia; Hospitals; 3. Good health; Body Temperature; Cross-Sectional Studies; Prevalence; Humans; Female; Physiologic; Perioperative care; Retrospective Studies

Monitoring body temperature is essential for safe perioperative care. Without patient monitoring during each surgical phase, alterations in core will not be recognised, prevented, or treated. Safe use of warming interventions also depends on monitoring. Yet there has been limited evaluation practices as the primary endpoint.To investigate all stages We examined what characteristics are associated with rate monitoring, along clinical variables such intervention exposure to hypothermia.An observational period-prevalence study over seven days across five Australian hospitals.Four metropolitan, tertiary hospitals and one regional hospital.We selected adult patients (N = 1690) undergoing any procedure mode anaesthesia period.Patient characteristics, data, hypothermia were retrospectively collected from charts. describe frequencies distribution data at stage, including adherence minimum based guidelines. To examine associations variables, we modelled using patient's count recorded measurements within their calculated time interval anaesthetic induction postanaesthetic care unit discharge. All analyses adjusted 95% confidence intervals (CI) clustering by hospital.There low levels most clustered around admission Over half (51.8%) had two less temperatures one-third (32.7%) no prior Of that received active surgery, two-thirds (68.5%) recorded. In our model, between often did reflect risk need: rates decreased those greatest operative (American Society Anesthesiologists Classification IV: ratio (RR) 0.78, CI 0.68-0.89; emergency surgery: RR 0.89, 0.80-0.98), neither (intraoperative warming: 1.01, 0.93-1.10; 1.02, 0.98-1.07) nor (RR 1.12, 0.98-1.28) rate.Our findings point need systems-level change enable proactive phases enhance safety outcomes.Not a trial.