Proposal on research topic on prevalence and associated factor of postoperative shivering in patient receiving GA and SA in TASH.
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Date
2020-06
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Addis Abeba University
Abstract
Background:On the current era great emphasis is being given on
improving quality of patient care. This motive includes conducting
clinical study to know procedure and treatment associated outcome
and complication. One of this complication is post anesthesia shivering
which has deleterious effect several aspects of patient outcomes. The
cause of shivering isincompletely understood. So, it is important to
know the overall magnitude and major contributing factors for post
anesthesia shivering for better health care.
Objective: To assess the magnitude and associated factors of post
anesthesia shivering inTikur anbesa specialized hospital, Addis Ababa,
Ethiopia from October 01 – November 1, 2019.
Methods: Institutional based cross-sectional study design was conducted
from Oct 01- Nov1, 2019. A systematic random sampling method was
employed to select 160 study subjects. Apre-tested structured
questionnaire was used to collect data. Postoperative axillarytemperature
was recorded every 5min for total of 20mintes.
Result: The overall incidence of post-anesthesia shivering was 46.9%.
From this majority ofpatients (52.2%) had grade 3 shivering. In multiple
logistic regression analysis, being femalepatient (AOR= 2.003, 95% CI:
1.038, 3.940; p=0.03), spinal anesthesia (AOR= 2.885, 95% CI: 1.433,
5.810; P=0.0031) and body temperature less than 360C (AOR= 36.293,
95% CI: 11.808, 111.554;p=0.001) were considered associated factors of
PAS.
Conclusion and recommendation:In conclusion therewas overall high
incidence of PAS, (46.9) which, necessitate close intraoperative
temperature monitoring and institution of active warming. The relative
high incidence of PAS on those patients operated under SA (62.9)
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Keywords
Anesthesia,postoperative shivering ,patient