The effect of aggressive management of intraoperative body temperature on postoperative APACHE II score and prognosis in high-risk patients undergoing thoracoscopic surgery

• DOI: 10.21037/jtd-22-873
• Publication Date: 2022-08-24T06:39:42Z
• Authors: Wangyu Li; Zhouting Hu; Jiayan Liu; Yuxin Yuan; Kai Li
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Original Article; 3. Good health

Intraoperative hypothermia is related with postoperative complication, longer length of stay (LoS) and mortality. Acute Physiology Chronic Health Evaluation II (APACHE II) it the most commonly used evaluation system for assessing severity clinical prognosis patients. This study sought to examine effect intraoperative body temperature on APACHE scores high-risk patients undergoing thoracoscopic surgery.This data from a multicenter randomized controlled trial who had undergone surgery at our center (NCT03111875). In were randomly assigned (1:1) receive either aggressive warming target core 37 ℃ or routine thermal management 35.5 during non-cardiac surgery. Randomisation was computer-generated. Eligible (aged ≥45 years) least one cardiovascular risk factor, scheduled inpatient noncardiac expected last 2-6 h general anaesthesia. We retrieved medical information through electronic record system. The primary outcome scores, score variation. secondary Quality Recovery-15 (QoR-15) LoS in hospital, complications, infections, deaths recorded, logistic regression analysis conducted stratify factors score.Group R comprised 121 Group A 84 lower (P=0.046) probability grade increase than (P=0.005). However, no significant differences found terms QoR-15 LoS, between 2 groups. showed that warming, age, American Society Anesthesiologists (ASA) deterioration scores.The active adoption various passive strategies keep ≥37 significantly reduced increases which different age ASA grade, only intervention factor.