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Prevalence and Multivariable Factors Associated With Inadvertent Intraoperative Hypothermia During Robot-Assisted

Jingjing Wang1, Fengxia Chen2, Qiaoju Yang1

  • 1Nursing School, Henan University of Chinese Medicine, Zhengzhou, China.

Therapeutic Hypothermia and Temperature Management
|October 23, 2025
PubMed
Summary

Inadvertent intraoperative hypothermia (IOH) affects 38.6% of patients during robot-assisted radical cystectomy (RARC). Factors like smoking and longer surgery increase IOH risk, while anesthesia induction time decreases it.

Keywords:
hypothermiaincidenceradical cystectomy surgeryrisk factorsrobotic-assisted surgery

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Area of Science:

  • Anesthesiology
  • Surgical Oncology
  • Patient Safety

Background:

  • Inadvertent intraoperative hypothermia (IOH) is a common complication during surgery.
  • Robot-assisted radical cystectomy (RARC) involves complex procedures where maintaining normothermia is crucial.
  • Understanding IOH prevalence and risk factors in RARC is vital for improving patient outcomes.

Purpose of the Study:

  • To determine the prevalence of inadvertent intraoperative hypothermia (IOH) in adult patients undergoing elective robot-assisted radical cystectomy (RARC).
  • To identify independent risk factors associated with IOH during RARC under general anesthesia.

Main Methods:

  • Retrospective study analyzing data from 690 patients undergoing RARC between June 2022 and August 2023.
  • Core body temperature and potential influencing factors were collected from electronic medical records.
  • Univariate and multivariate logistic regression analyses were employed to identify risk factors.

Main Results:

  • A significant prevalence of IOH was observed in 38.6% of the included patients (266 out of 690).
  • Independent risk factors for IOH included lower baseline core temperature, older age, longer surgery duration, larger intraoperative fluid volume, and smoking.
  • Factors associated with reduced IOH risk included shorter anesthesia induction time and morning surgeries.

Conclusions:

  • Elective RARC under general anesthesia is associated with a relatively high prevalence of inadvertent intraoperative hypothermia.
  • Key modifiable and non-modifiable factors influencing IOH in RARC patients were identified, necessitating targeted preventative strategies.