Surgical Site Infection in Thoracic Surgery Is Not Associated With Perioperative Hypothermia.

Document Type

Article

Publication Date

6-1-2022

Publication Title

Cureus

Keywords

california; santa rosa; psrmh; hypothermia; performance measure; surgical care improvement project; surgical site infection; thoracic surgery

Abstract

INTRODUCTION: The Surgical Care Improvement Project (SCIP) added the SCIP-Inf-10 measure to mandate that all surgical patients have perioperative temperature management to reduce surgical site infection. While the basis of this measure originated in colorectal surgery, we hypothesized that this would also apply to thoracic surgery patients.

METHODS: This was a retrospective single-center pilot study reviewing two years of thoracic surgery cases for the incidence and duration of hypothermia during the operation and surgical site infection occurring within 30 days. Hypothermia was defined as a core temperature of < 36° C. Results: A total of 317 patients were included in the study. Sixty-two percent of patients were identified as hypothermic. The average intraoperative temperature was 35.4°C ± 0.8°C in the hypothermic group and 36.4°C ± 0.3°C in the normothermic group. There were four surgical site infections in the study with three cases from the

CONCLUSION: Perioperative hypothermia was common in thoracic surgery and did not have a negative impact on surgical site infection.

Department

Surgery

Department

Critical Care Medicine

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