Assessment on Magnitude and Associated Factors of Post Anesthesia Shivering at Zewditu Memorial Hospital from February 01 – March 31, 2016
No Thumbnail Available
Date
2016-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Now on these days as quality of patient care has being given big concern in
developing countries, which was not yet, it is necessary to conduct a study to know some
procedural and treatment complication. Post anesthesia shivering is one of these complications,
which has many deleterious effects on the patient outcome. The cause of shivering is
incompletely 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 in
Zewditu Memorial Hospital, Addis Ababa, Ethiopia from February 01 – March 31, 2016.
Methods: Institutional based cross-sectional study design was conducted from Feb 01- Mar
31, 2016. A systematic random sampling method was employed to select 179 study subjects. A
pre-tested structured questionnaire was used to collect data. Perioperative tympanic temperature
was recorded every 15 minutes interval.
Results: The overall incidence of post-anesthesia shivering was 29.1%. From this majority of
patients (60.8%) had grade 3 shivering. In multiple logistic regression analysis, being male
patient (AOR= 3.273, 95% CI: 1.495, 7.165; p=0.003), older age (AOR= 0.123, 95% CI: 0.032,
0.469; P=0.002) and tympanic temperature less than 360C (AOR= 2.747, 95% CI: 1.248, 6.049;
p=0.012) were considered associated factors of PAS.
Conclusion and Recommendation: The incidence of shivering was (29.1%); we also
conclude that prophylaxis for shivering is necessary in those high risk patients. Age of the patient
was the variable with the most predictive power by far. If surgery is planned on patients who are
Male, low core body temperature, children and adult age group every precautions and care
should be considered to make core body temperature in the normal range post operatively. For
pain management alternative, it may be better to use opioids which have known protective effect
for shivering.
Description
Keywords
Zewditu Memorial Hospital