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Trial registered on ANZCTR
Registration number
ACTRN12617001492347
Ethics application status
Approved
Date submitted
16/08/2017
Date registered
23/10/2017
Date last updated
23/10/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
The incidence of inadvertent perioperative hypothermia
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Scientific title
The incidence of inadvertent perioperative hypothermia in patients undergoing general anesthesia and an examination of risk factors
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Secondary ID [1]
292666
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None
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Universal Trial Number (UTN)
U1111-1200-7719
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
hypothermia
304408
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Condition category
Condition code
Anaesthesiology
303738
303738
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0
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Other anaesthesiology
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Surgery
303739
303739
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0
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Other surgery
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The incidence of inadvertent perioperative hypothermia in patients undergoing general anesthesia. The duration of observation: from before patients entered the operating room to 15 minutes after patients were transfered to post anesthesia care unit.
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Intervention code [1]
298903
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
303107
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Primary outcome is to determine the incidence of inadvertent intraoperative hypothermia, defined as core temperature <36°C at any time during the perioperative period. The core temperature is assumed to be that of tympanic membrane temperature, since tympanic membrane temperature is easily obtained and has been validated to reflect core temperature. Infrared tympanic thermometer is used for assessment (Genius 2, Mansfield, USA)
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Assessment method [1]
303107
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Timepoint [1]
303107
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6 months
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Secondary outcome [1]
337897
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Identify possible correlations with perioperative hypothermia of risk factors such as age, sex, height, weight, preoperative fasting period, ASA physical condition score, habits, comorbidities, type and size of surgery, endoscopic surgery usage, duration of anesthesia and surgery, irrigation and infusion fluids, room temperature and humidity, active or passive heating usage.
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Assessment method [1]
337897
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Timepoint [1]
337897
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6 months
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Eligibility
Key inclusion criteria
Patients undergoing general anesthesia undergoing elective surgery which expected to last longer than 30 minutes of surgical intervention. The patients agreed to participate in the study and signed the consent form.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients on emergency operations,
Patients undergoing open heart surgery with routine temperature monitoring,
Patients with central fever due to cerebral trauma-epilepsy or acute hydrocephalus etc.,
Patients with thermoregulatory abnormality (such as malignant hyperthermia, neuroleptic malignant syndrome etc.),
Patients whose preoperative temperature measured from tympanic membrane below 36 ° C and above 37.8 ° C,
Patients with thyroid disorders,
Patients with tympanic membranous pathology,
ASA physical status score IV-V patients,
Patients who will be anesthetized except for inhalation anesthesia such as TIVA
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Study design
Purpose
Natural history
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Duration
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
According to similar studies in the literature, the required sample width as a result of power analysis, by using PASS 11 (Power and Sample Size, version 11, for Windows), was determined as at least 1372 individuals in total. In this case, the power of the test is expected to be approximately 85.16%.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/02/2016
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Date of last participant enrolment
Anticipated
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Actual
1/08/2016
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Date of last data collection
Anticipated
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Actual
1/08/2016
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Sample size
Target
2000
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Accrual to date
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Final
2015
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Recruitment outside Australia
Country [1]
9151
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Turkey
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State/province [1]
9151
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ANKARA
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Funding & Sponsors
Funding source category [1]
297305
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Hospital
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Name [1]
297305
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Atatürk Training and Research Hospital
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Address [1]
297305
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Atatürk Training and Research Hospital Yildirim Beyazit University Department of Anesthesiology Universiteler Street 06000 Bilkent ANKARA
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Country [1]
297305
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Turkey
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Primary sponsor type
Individual
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Name
Süleyman Sari
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Address
Atatürk Training and Research Hospital Yildirim Beyazit University Department of Anesthesiology Universiteler Street 06000 Bilkent ANKARA
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Country
Turkey
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Secondary sponsor category [1]
296275
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Individual
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Name [1]
296275
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Semsi Mustafa Aksoy
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Address [1]
296275
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Atatürk Training and Research Hospital Yildirim Beyazit University Department of Anesthesiology Universiteler Street 06000 Bilkent ANKARA
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Country [1]
296275
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Turkey
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298409
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Atatürk Training and Research Hospital Ethics Committee
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Ethics committee address [1]
298409
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Atatürk Training and Research Hospital Bilkent Universiteler street 06000 ANKARA
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Ethics committee country [1]
298409
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Turkey
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Date submitted for ethics approval [1]
298409
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01/01/2016
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Approval date [1]
298409
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20/01/2016
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Ethics approval number [1]
298409
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07
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Summary
Brief summary
We determined the incidence of unintended perioperative hypothermia in patients undergoing general anesthesia and examined risk factors. 2015 patients were studied and the incidence of perioperative hypothermia was 78.6%. There was a statistically significant difference between the patients with and without hypothermia in terms of age and age group, body mass index (BMI), ASA classification and chronic disease status (p <0,05). The age and BMI of hypothermic patients were significantly higher than those without hypothermia. Patients with hypothermia who were older than 65 years, those with a BMI greater than 25 kg / m2 and any chronic disease were significantly higher than those without hypothermia. Patients with ASA-I had a significantly lower percentage of hypothermic patients. Percentage of those with grade 3 or 4 surgery, patients with endoscopic surgery, duration of anesthesia over 2 hours, infusion or irrigation amount greater than 1000 ml were significantly higher than those without hypothermia.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Süleyman Sari
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Address
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Atatürk Training and Research Hospital Yildirim Beyazit University Department of Anesthesiology Universiteler Street 06000 Bilkent
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Country
76998
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Turkey
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Phone
76998
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+90 505 2648850
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Fax
76998
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Email
76998
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[email protected]
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Contact person for public queries
Name
76999
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Süleyman Sari
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Address
76999
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Atatürk Training and Research Hospital Yildirim Beyazit University Department of Anesthesiology Universiteler Street 06000 Bilkent
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Country
76999
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Turkey
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Phone
76999
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+90 505 2648850
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Fax
76999
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Email
76999
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[email protected]
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Contact person for scientific queries
Name
77000
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Süleyman Sari
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Address
77000
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Atatürk Training and Research Hospital Yildirim Beyazit University Department of Anesthesiology Universiteler Street 06000 Bilkent
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Country
77000
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Turkey
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Phone
77000
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+90 505 2648850
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Fax
77000
0
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Email
77000
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
The incidence of inadvertent perioperative hypothermia in patients undergoing general anesthesia and an examination of risk factors
2021
https://doi.org/10.1111/ijcp.14103
N.B. These documents automatically identified may not have been verified by the study sponsor.
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