Articles Tập 67 Số CĐ1-NCKH 27/01/2026

FACTORS ASSOCIATED WITH HYPOTHERMIA IN ELDERLY PATIENTS DURING HIP ARTHROPLASTY

Tran Thi Mong Nghi1,2, Le Van Dung3,4, Doan Minh Nhat5,6, Hoang Thu Minh3,4
1 University of Health Sciences, Vietnam National University, Ho Chi Minh city
2 Trường Đại học Khoa học Sức khỏe, Đại học Quốc gia thành phố Hồ Chí Minh
3 Cho Ray Hospital
4 Bệnh viện Chợ Rẫy
5 School of Nursing - Medical Technology, University of Medicine and Pharmacy at Ho Chi Minh city
6 Trường Điều dưỡng - Kỹ thuật Y học, Đại học Y Dược thành phố Hồ Chí Minh
DOI: 10.52163/yhc.v67iCD1.4291
13 Views
8 Downloads
Keywords
Hypothermia, hip arthroplasty, risk factor, elderly patients, Cho Ray Hospital.
Abstract

Objective: To investigate risk factors associated with intraoperative hypothermia in elderly patients undergoing hip arthroplasty.

Methods: A prospective, descriptive cross-sectional study was conducted. Core body temperature was measured using a tympanic thermometer in patients aged 60 years and older who underwent hip arthroplasty under general anesthesia with endotracheal intubation at the Department of Surgery and Anesthesiology - Intensive Care, Cho Ray Hospital, from December 2022 to December 2023. Body temperature was recorded at the following time points: pre-induction, induction, and at 10, 30, 60, and 90 minutes after induction, as well as at the end of surgery.

Results: Patients aged ≥ 70 years had a significantly higher risk of hypothermia compared with those aged < 70 years, with an OR of 9.67 (95% CI: 2.28-40.99; p = 0.002). Overweight patients (BMI = 23-25 kg/m2) had a significantly lower risk of hypothermia compared with underweight patients, with an OR of 0.08 (95% CI: 0.01-0.60; p = 0.014). Patients classified as ASA III had a higher risk of hypothermia than those classified as ASA II (OR = 5.23; 95% CI: 1.24-22.05; p = 0.024).

Conclusion: Advanced age, nutritional status, and preoperative comorbidity severity are significant factors influencing the risk of intraoperative hypothermia. Early identification of these risk factors is essential for developing effective preventive strategies, thereby improving patient safety and quality of perioperative care.

References
[1]
Sessler D.I. Perioperative thermoregulation and heat balance. Lancet, 2016, 387 (10038): 2655-2664. doi: 10.1016/S0140-6736(15)00981-2. Google Scholar
[2]
Kao Nguyễn Mai Linh et al. Survey on the rate of hypothermia in patients under anesthesia - laparoscopic abdominal surgery. Ho Chi Minh city Journal of Medicine, 2019, 23 (4): 54-61. Google Scholar
[3]
Scott A.V, Stonemetz J.L et al. Compliance with surgical care improvement project for body temperature management (SCIP Inf-10) is associated with improved clinical outcomes. Anesthesiology, 2015, 123 (1): 116-125. doi: 10.1097/ALN.0000000000000681. Google Scholar
[4]
Torossian A. Survey on intraoperative temperature management in Europe. Eur J Anaesthesiol, 2007, 24 (8): 668-675. doi: 10.1017/S0265021507000191. Google Scholar
[5]
Moola S, Lockwood C. Effectiveness of strategies for the management and/or prevention of hypothermia within the adult perioperative environment. Int J Evid Based Healthc, 2011, 9 (4): 337-345. doi: 10.1111/j.1744-1609.2011.00227.x. Google Scholar
[6]
Kurz A, Sessler D.I, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical wound infection and shorten hospitalization: Study of wound infection and temperature group. N Engl J Med, 1996, 334 (19): 1209-1215. doi: 10.1056/NEJM199605093341901. Google Scholar
[7]
Leijtens B, Koëter M et al. High incidence of postoperative hypothermia in total knee and total hip arthroplasty: A prospective observational study. The Journal of Arthroplasty, 2013, 28 (6): 895-898. doi: 10.1016/j.arth.2012.10.006. Google Scholar
[8]
NICE. Hypothermia: prevention and management in adults having surgery. NICE clinical guidelines, No. 65, 2016. https://www.ncbi.nlm.nih.gov/books/NBK554181/ Google Scholar
[9]
Kenney W.L, Munce T.A. Aging and human temperature regulation. J Appl Physiol, 2003, 95 (6): 2598-2603. doi: 10.1152/japplphysiol.00202.2003. Google Scholar
[10]
Kurtz S.M, Lau E et al. Infection burden for hip and knee arthroplasty in the United States. J Arthroplasty, 2008, 23 (7): 984-991. doi: 10.1016/j.arth.2007.10.017. Google Scholar