Magnitude and associated factors of intraoperative hypothermia among pediatric patients undergoing elective surgery at selected public hospitals, Addis Ababa, Ethiopia, 2021.
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Date
2021-06
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Addis Abeba University
Abstract
Back Ground: Hypothermia defined as a core body temperature less than 36 c
. It is a frequent
condition encountered in pediatric patients operated under general anesthesia. It is one of the
common event during surgery &can have different consequences that increase perioperative
morbidity & mortality.
Objective: To assess magnitude and associated factors of intra-operative hypothermia among
pediatric patients undergoing elective surgery at selected public hospitals in Addis Ababa, Ethiopia
from February - April, 2021.
Method: Institutional based cross sectional study was conduct on 339 pediatric patients
undergoing elective surgery at public hospitals in Addis Ababa, Ethiopia from February - April,
2021. Study participants were selected by systematic random sampling technique. The data
collection procedure was Chart review and intra -operative temperature measurement &collected
data were analyzed by SPSS version 26. The Independent variables, were analyze using binary
&multi logistic regression. Odds ratio, 95% confidence interval, and p-value of <0.05 were consider
as cutoff point to tested for statistically significant and to determine the strength of the association.
Result: The magnitude of intra-operative hypothermia in this study was 39.8%.Room
temperature less than 26c
0
(AOR=6,95%CI,2.859,13.23),volume of fluid administered greater
than half liter (AOR=3.6,95%CI,1.83,7.23), Patients who were received un-warm fluid(AOR,
2.2, 95%CI, 1.28,4.04) and duration of surgery and anesthesia time greater than 120
minute(AOR=3.4,95%CI,1.29,8.79) and (AOR=3.8,95%CI,1.25,11.53) Respectively were
factors which was significantly associated with intra-operative hypothermia.
Conclusion & Recommendation: This study revealed that high magnitude of intra-operative
hypothermia among pediatric patients. Room temperature less than 26c
, unwarm fluid
Administered, volume of fluid administered greater than half liter, duration of surgery and
anesthesia time were significantly associated with intra-operative hypothermia.
I would like to advice for anesthetist to use warm intra-venous fluid & maintaining of Room
temperature above 26c
0
&the public healthy planner advised to set means of prevention of
hypothermia based on this study.
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Keywords
Hypothermia, Intra-Operative, Magnitude, Risk Factor, Ethiopia