Postoperative hypothermia after total aortic arch replacement in acute type A aortic dissection-multivariate analysis and risk identification for postoperative hypothermia occurrence.
Postoperative hypothermia after total aortic arch replacement in acute type A aortic dissection-multivariate analysis and risk identification for postoperative hypothermia occurrence.
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急性A型主动脉夹层全主动脉弓置换术后低体温——术后低体温发生的多因素分析及风险识别
DOI：
10.21037/jtd-20-1709
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发表时间：
2020-12
影响因子：
2.5
通讯作者：
Wang C
中科院分区：
文献类型：
--
作者：
Liu H;Wang X;Liu S;Cong S;Lu Y;Yang Y;Wang W;Lai H;Li X;Wei L;Wang C
背景术后体温过低（PH）是一种常见的生理异常，与非心脏手术后发病率和死亡率增加相关。全主动脉弓置换术后PH的发生率、危险因素及其对早期预后的影响尚不清楚。方法我们对2013年1月至2016年12月在我院接受全弓置换术的急性A型主动脉夹层患者进行了回顾性队列研究。收集基本变量、手术和术后早期结局。进行单变量和多变量统计分析以进行统计学解释。结果300例急性A型主动脉夹层患者（年龄53.8±11.5岁，女性63例，占21.0%）行全弓置换术。44例患者（14.7%）发生PH。PH的独立危险因素是年龄和术中最低膀胱温度。结论急性A型主动脉夹层全弓置换术后PH发生率相对较低。该人群PH的独立危险因素包括年龄和术中最低膀胱温度。在到达ICU后采用全面复温策略，PH易于纠正，并且短暂PH对弓手术后早期结局的不良影响极小。
Background Postoperative hypothermia (PH) is a common physiological abnormality associated with increased morbidity and mortality after non-cardiac surgery. The incidence, risk factors of PH and its impact on early outcomes after total aortic arch replacement are not clear. Methods We conducted a retrospective cohort study in patients with acute type A aortic dissection who underwent total arch replacement from January 2013 to December 2016 at our institution. Basic variables, procedural and postoperative early outcomes were collected. Univariate and multivariate statistical analysis were performed for statistical interpretation. The early outcomes were compared between patients with or without PH. Results A total of 300 patients (age 53.8±11.5 years, female 63, 21.0%) with acute type A aortic dissection underwent total arch replacement. Forty-four patients (14.7%) developed PH. The independent risk factors of PH are age and the intraoperative lowest bladder temperature. There is no significant difference in major postoperative morbidity and mortality between patients with or without PH. Conclusions The incidence of PH after total arch replacement in acute type A aortic dissection is relatively low. The independent risk factors of PH in this population include age and the intraoperative lowest bladder temperature. With comprehensive rewarming strategy upon arrival at the ICU, the PH is easy to be corrected, and the adverse effect of transient PH on early outcomes after arch surgery is minimal.
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DOI：
10.1007/s00464-016-5195-0
发表时间：
2017-04
期刊：
Surgical endoscopy
影响因子：
--
作者：
Mason SE;Kinross JM;Hendricks J;Arulampalam TH
通讯作者：
Arulampalam TH
温和体温过低对rocuronium诱导的深神经肌肉块逆转的影响。
影响因子：
2.2
作者：
Lee HJ;Kim KS;Jeong JS;Kim KN;Lee BC
通讯作者：
Lee BC
DOI：
10.1016/b978-0-444-64074-1.00041-0
发表时间：
2018-01-01
期刊：
THERMOREGULATION: FROM BASIC NEUROSCIENCE TO CLINICAL NEUROLOGY, PT II
影响因子：
--
作者：
Ruetzler, Kurt;Kurz, Andrea
通讯作者：
Kurz, Andrea
影响因子：
3
作者：
SLOTMAN, GJ;JED, EH;BURCHARD, KW
通讯作者：
BURCHARD, KW
DOI：
10.1016/j.jtcvs.2003.07.018
发表时间：
2004-05-01
影响因子：
6
作者：
Nathan, HJ;Parlea, L;Wells, GA
通讯作者：
Wells, GA