Sitot, Mulualem (2017) Magnitude of Perioperative Hypothermia and Associated Factors of Intraoperative Hypothermia in Patients 18 years and above Who Undergo Elective Operation at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2017. Masters thesis, Addis Ababa University.
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Abstract
Background: Body temperature is a vital sign and 37°C is the mean core body temperature of a healthy human. Core body temperature is normally tightly regulated and maintained within narrow range. Perioperative hypothermia is one of the major problems during surgery and anesthesia that can affect operated patients. Objective: to assess the magnitude of perioperative hypothermia and associated factors of intraoperative hypothermia in patients undergoing elective anesthesia and surgery at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia from March 6 - May 12, 2017. Methods: institutional based cross sectional study was conducted on 265 patients 18 years and above who undergo operation at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia from March 6 - May 12, 2017. Patient interview, chart review and temperature measurement was employed for data collection. Collected data was analyzed using SPSS version 20 window. All Independent variables with the dependent variable, hypothermia, were analyzed using binary logistic regression. A p-value of <0.05 was considered as cutoff point to test for statistically significant. Result: The overall magnitude of preoperative, intra and post operative hypothermia in this study was 16.2%, 53.2% and 31.3%, respectively. Age >65 years (AOR=7.15, 95% CI, 1.16, 43.99), coexisting illness (AOR, 3.32, 95% CI, 1.06; 10.36), preoperative hypothermia (AOR; 57; 95% CI; 7.1, 455.4), operation room temperature <23 oc (AOR=1.91; 95 % CI, 1.04; 3.5) and >2 liter cold crystalloid fluids administered (AOR; 2.3; 95% CI, 1.07, 4.9) were found to be factors associated with intraoperative hypothermia. Conclusion and recommendation: The magnitude of intraoperative hypothermia is high in Tikur Anbessa Specialized Hospital. Anesthesia professionals should warm crystalloid fluids before administering and the operation room temperature should be kept at least above 23 oc. For Administrators and other stakeholders of Tikur Anbessa Specialized Hospital, we recommend to consider ways to make OR and PACU temperature controlled rooms for better health care.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 22 Nov 2018 09:31 |
| Last Modified: | 22 Nov 2018 09:31 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7628 |
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