Pediatric anesthesia & critical care
Reducing postoperative hypothermia in infants: Quality improvement in China
Authors' conclusion
Our QI project reduced postoperative hypothermia without incurring hyperthermia through multidisciplinary team collaboration with the guidance of QI experts from the USA.
Study context
- Population
- Infants undergoing surgery in a NICU, Guangzhou Women and Children's Medical Center, China
- Participants
- 295 infants
- Comparison
- Perioperative-thermoregulation quality improvement (QI) bundle vs baseline
- Outcome
- Postoperative hypothermia (axillary temperature < 36.5°C)
Methodological detailsPlan-do-study-act (PDSA) cycles, statistical process control charts, multidisciplinary
- PDSA cycles
- Statistical process control charts
- Multidisciplinary
Main finding
As reported in the abstract
Postoperative hypothermia · 26 weeks
- Percentage of postoperative hypothermia decreased from 60% to 37%
- Special cause variation below the mean on the statistical process control chart
Further findings
Factors associated with reduction in hypothermia (regression)
| Odds (95% CI) | P value | |
|---|---|---|
| Compliance with transport incubator | 0.17 (0.06–0.46) | P < 0.001 |
| Prewarming OR ambient temperature to 26°C | 0.24 (0.1–0.58) | P = 0.002 |
Safety
Postoperative hyperthermia (>37.5°C; balancing measure)
- Infants with hyperthermia
- 2
Original publication
Reducing postoperative hypothermia in infants: Quality improvement in China. Paediatr Anaesth. Published 22 May 2024. doi:10.
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