Publication: Modelos lineales de temperatura corporal en el paciente
postquirúrgico
Authors
Izquierdo Monge, María Dolores ; Beltrán Guerra, Isabel ; Manuel Santos, José ; Ortega Calvo, Manuel
item.page.secondaryauthor
item.page.director
Publisher
Murcia: Servicio de Publicaciones de la Universidad de Murcia
publication.page.editor
publication.page.department
DOI
item.page.type
info:eu-repo/semantics/article
Description
Abstract
Introducción y objetivos: La hipotermia no intencionada es una situación ante la cual la enfermería ha
de estar entrenada para su reconocimiento y control. Nuestros objetivos han sido: evaluar la proporción
de pacientes que llegaban en situación de hipotermia (temperatura <36ºC) y estudiar el
comportamiento de la temperatura corporal en la Unidad de Recuperación Postanestésica (URPA).
Material y métodos: La medición se llevó a cabo mediante un termómetro timpánico electrónico
infrarrojo. El contraste de medias aritméticas se realizó mediante pruebas T. Cuando las variables
contenían más de dos categorías se empleó la ANOVA de un factor. Se construyeron modelos con
regresión lineal y logística.
Resultados: El 85,26% de los pacientes presentaron hipotermia. La temperatura media de ingreso de
los pacientes tratados con anestesia combinada fue significativamente más baja que la de los tratados
con local o general. Tanto en los modelos univariantes como en los multivariantes con regresión lineal,
la temperatura medida a los 90 minutos fue la que más se correlacionó con la temperatura al alta
(coeficiente de determinación R2 = 0.69; p<0.001). Discusión: Hemos encontrado una proporción elevada de pacientes con hipotermia (temperatura
corporal menor de 36ºC) a su ingreso en la URPA (85,26%). No hemos encontrado ninguna variable
predictora para la hipotermia de llegada a pesar de que los pacientes anestesiados de manera
combinada ingresaban con una temperatura media menor que aquellos tratados con local o con
general (ANOVA de un factor p<0.05). Consideramos una estancia mínima de 90 minutos para un
control adecuado de la variable temperatura en un entorno de recalentamiento empírico no
protocolizado.
ABSTRACT Introduction and objectives: unintentional hypothermia is a situation in which nursing has to be trained for recognition and control. Our objectives were to evaluate the proportion of patients arriving in situations of hypothermia (temperature <36 ° C) and to study the behavior of body temperature in the post-anesthesia care unit. Methods: the measurement was carried out by infrared electronic tympanic thermometer. The contrast arithmetic test was performed by T tests. When variables contained more than two categories, we used the one-way ANOVA. Models were constructed with linear and logistic regression. Results: 85.26% of patients had hypothermia. The average admission temperature of patients treated with combined anesthesia was significantly lower than that of those treated with local or general. Both in the univariate and in multivariate models using linear regression, the temperature measured at 90 minutes was the most correlated with the temperature at discharge (coefficient of determination R2 = 0.69, P <0.001). Discussion: we found a high proportion of patients with hypothermia (body temperature below 36 ° C) on admission (85.26%). We found no predictor for arrival hypothermia despite combined anesthetized patients were admitted with an average temperature measuring less than those treated with local or general (one-way ANOVA p <.05). We consider a minimum stay of 90 minutes for proper control of the temperature variable in a non docketed empirical overheating
ABSTRACT Introduction and objectives: unintentional hypothermia is a situation in which nursing has to be trained for recognition and control. Our objectives were to evaluate the proportion of patients arriving in situations of hypothermia (temperature <36 ° C) and to study the behavior of body temperature in the post-anesthesia care unit. Methods: the measurement was carried out by infrared electronic tympanic thermometer. The contrast arithmetic test was performed by T tests. When variables contained more than two categories, we used the one-way ANOVA. Models were constructed with linear and logistic regression. Results: 85.26% of patients had hypothermia. The average admission temperature of patients treated with combined anesthesia was significantly lower than that of those treated with local or general. Both in the univariate and in multivariate models using linear regression, the temperature measured at 90 minutes was the most correlated with the temperature at discharge (coefficient of determination R2 = 0.69, P <0.001). Discussion: we found a high proportion of patients with hypothermia (body temperature below 36 ° C) on admission (85.26%). We found no predictor for arrival hypothermia despite combined anesthetized patients were admitted with an average temperature measuring less than those treated with local or general (one-way ANOVA p <.05). We consider a minimum stay of 90 minutes for proper control of the temperature variable in a non docketed empirical overheating
publication.page.subject
Citation
item.page.embargo
Collections
Ir a Estadísticas
Sin licencia Creative Commons.