84 - Incidence and Risk Factors of Postoperative Hypothermia in Neonatal with Cardioplumonary Bypass
Background: Hypothermia is the important and difficult problem of perioperative nursing. The incidence of postoperative hypothermia of neonatal with cardiopulmonary bypass is about 70%, which is an international nursing problem. Hypothermia will cause coagulation dysfunction and wound infection, and affect heart function or body metabolism in serious situation. High prevalence of neonatal with cardiopulmonary bypass is associated with inadequate understanding of risk factors. So the arm of this study was to assess the prevalence of neonatal with cardiopulmonary bypass and associated factors among newborn undergoing cardiac surgery.
Methods: Intraoperative data of infants undergoing heart surgery at Guangdong provincial people hospital from September 2017 to February 2019 were retrospectively analyzed. Multivariate binary logistic regression, with 95% confidence interval and a p-value < 0.05 was used to identify variables which had a significant association.
Results: The prevalence of neonatal with cardiopulmonary bypass Postoperative hypothermia is in the study area was 40%. Weight [AOR=0.608;95%ci(0.398,0.952)], preoperative hypothermia [AOR=3.989; 95%ci(1.684,9.452)] and non-emergency[AOR=3.327;95%ci (1.319,8.389)] were significantly associate with hypothermia.
Conclusion: The prevalence of Neonatal hypothermia with cardiopulmonary bypass in the study area was high. Low body weight, preoperative body temperature lower than 35.5? and non-emergency operation were independent predictors of Neonatal hypothermia with cardiopulmonary bypass .Therefore special measures should be further studied and formulated to reduce the incidence of postoperative hypothermia, ensure patient safety and improve outcomes.