j o u r n a l o f s u r g i c a l r e s e a r c h x x x ( 2 0 1 4 ) 1 e6
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ScienceDirect journal homepage: www.JournalofSurgicalResearch.com
Defining intraoperative hypothermia in ventral hernia repair Rebeccah B. Baucom, MD,a,* Sharon E. Phillips, MSPH,b Jesse M. Ehrenfeld, MD, MPH,a,c,d Michael D. Holzman, MD, MPH,a William H. Nealon, MD,a Kenneth W. Sharp, MD,a Joan L. Kaiser, RN, MS,a and Benjamin K. Poulose, MD, MPHa a
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee Department of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee c Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee d Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee b
article info
abstract
Article history:
Background: Intraoperative normothermia, a single measurement of core body temperature
Received 3 December 2013
36 C, is an important quality metric outlined by the World Health Organization for the
Received in revised form
reduction of surgical site infections (SSIs). Hypothermia has been linked to SSI in colorectal
22 January 2014
and trauma patients, but the effect in ventral hernia repair (VHR) is unknown.
Accepted 31 January 2014
Materials and methods: Patients who underwent VHR at a single institution between 2005
Available online xxx
and 2012 were included. Temperature data were matched with National Surgical Quality Improvement Program SSI data. Novel definitions of hypothermia were explored: patient
Keywords:
temperature nadir, percentage of time spent at the nadir, mean temperature, and time
Hypothermia
spent