Postoperative hypothermia is associated with reduced length of stay in adult acute burn survivors

The hypermetabolic response after a burn predisposes patients to hypothermia due to dysfunction of thermoregulation. Traditionally, hypothermia is avoided actively in burn care due to reported complications associated with low body temperature. The likelihood of hypothermia with acute burn surgery i...

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Bibliographic Details
Published in:Burns 2024-08, Vol.50 (6), p.1536-1543
Main Authors: Mai, Linda, Boardman, Glenn, Robinson, Kieran, Edgar, Dale W., Wood, Fiona M.
Format: Article
Language:English
Subjects:
acute burn
Adult
adults
Aged
Body Temperature
Burns - surgery
Cohort Studies
Female
Humans
Hypothermia - epidemiology
Hypothermia - etiology
Length of Stay - statistics & numerical data
Linear Models
Male
Middle Aged
Postoperative Complications - epidemiology
recovery
Retrospective Studies
Surgery
Survivors - statistics & numerical data
Western Australia - epidemiology
Young Adult
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Summary:The hypermetabolic response after a burn predisposes patients to hypothermia due to dysfunction of thermoregulation. Traditionally, hypothermia is avoided actively in burn care due to reported complications associated with low body temperature. The likelihood of hypothermia with acute burn surgery is compounded by general anesthesia, exposure of wound areas and prolonged operation times. However, we find limited studies exploring the effects of perioperative hypothermia on length of stay in the adult burn population. To determine associations between postoperative hypothermia and hospital length of stay in adult burns patients. This retrospective cohort study involved patients admitted to the State Adult Burn Unit in Western Australia between 1st January 2015 to 28th February 2021. All adults who underwent surgery for acute burn, and had postoperative recovery room body temperature recorded, were included in the study. In this study, we defined normothermia as >36.5C and hypothermia as
ISSN:0305-4179
1879-1409
1879-1409
DOI:10.1016/j.burns.2024.02.033