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Original Article
- Surgery
- Association of Immediate Postoperative Temperature in the Surgical Intensive Care Unit with 1-Year Mortality: Retrospective Analysis Using Digital Axillary Thermometers
- Jiwook Kim, Tak Kyu Oh, Jaebong Lee, Saeyeon Kim, In-Ae Song
- Acute Crit Care. 2019;34(1):53-59. Published online January 9, 2019
- DOI: https://doi.org/10.4266/acc.2019.00255
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- 4 Web of Science
- 5 Crossref
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Abstract
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Supplementary Material - Background
Postoperative body temperature is closely associated with prognosis although there is limited research regarding this association at postoperative intensive care unit (ICU) admission. Furthermore, no studies have used digital axillary thermometers to measure postoperative body temperature. This study investigated the association between mortality and postoperative temperature measured using a digital axillary thermometer within 10 minutes after ICU admission. Methods: This retrospective observational study evaluated data from adult patients admitted to an ICU after elective or emergency surgery. The primary outcome was 1-year mortality after ICU admission. Multivariable logistic regression analysis with restricted cubic splines was used to evaluate the association between temperature and outcomes. Results: We evaluated data from 5,868 patients admitted between January 1, 2013 and May 31, 2016, including 5,311 patients (90.5%) who underwent noncardiovascular surgery and 557 patients (9.5%) who underwent cardiovascular surgery. Deviation from the median temperature (36.6°C) was associated with increases in 1-year mortality (≤ 36.6°C: linear coefficient, –0.531; P<0.001 and ≥36.6°C: spline coefficient, 0.756; P<0.001). Similar statistically significant results were observed in the noncardiovascular surgery group, but not in the cardiovascular surgery group. Conclusions: An increase or decrease in body temperature (vs. 36.6°C) measured using digital axillary thermometers within 10 minutes of postoperative ICU admission was associated with increased 1-year mortality. However, no significant association was observed after cardiovascular surgery. These results suggest that postoperative temperature is associated with longterm mortality in patients admitted to the surgical ICU in the postoperative period. -
Citations
Citations to this article as recorded by
- Construction of a nursing assessment framework for patients in anaesthesia recovery period: A modified Delphi study
Lang Peng, Xianxian Zang, Ruili Liu, Ping Bai, Lu Wang, Guoyong Yang
Journal of Advanced Nursing.2024;[Epub] CrossRef - A prognostic model for 1-month mortality in the postoperative intensive care unit
Mohammad Fathi, Nader Markazi Moghaddam, Saba Naderian Jahromi
Surgery Today.2022; 52(5): 795. CrossRef - Relationship Between First 24-h Mean Body Temperature and Clinical Outcomes of Post-cardiac Surgery Patients
Fei Xu, Cheng Zhang, Chao Liu, Siwei Bi, Jun Gu
Frontiers in Cardiovascular Medicine.2021;[Epub] CrossRef - Rebound hypothermia after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) and cardiac arrest in immediate postoperative period: a report of two cases and review of literature
Sohan Lal Solanki, Mrida A. K. Jhingan, Avanish P. Saklani
Pleura and Peritoneum.2020;[Epub] CrossRef - Postoperative Hypothermia
Deokkyu Kim
Acute and Critical Care.2019; 34(1): 79. CrossRef
- Construction of a nursing assessment framework for patients in anaesthesia recovery period: A modified Delphi study
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