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Risk Factors for Intraoperative Hypothermia in Pediatric Burn Surgery: A Single-Center University Hospital Experience
Cengiz Sahutoglu1, Geylani Ozok2, Canan Bor1
1Department of Anesthesiology and Reanimation, Ege University Faculty of Medicine, Izmir, Türkiye.
Therapeutic Hypothermia and Temperature Management
|August 4, 2026
Summary
Intraoperative hypothermia affects nearly 40% of pediatric burn surgery patients. Female gender, flame burns, higher ASA scores, and longer anesthesia increase hypothermia risk.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Burn Management
Background:
- Pediatric burns are a major cause of death and injury.
- Hypothermia is a common complication in burn patients, affecting up to 60%.
- Maintaining normothermia is critical during pediatric burn surgery.
Purpose of the Study:
- To determine the incidence of intraoperative hypothermia in pediatric burn surgery.
- To identify independent risk factors associated with intraoperative hypothermia in this patient population.
Main Methods:
- Retrospective observational cohort study of pediatric burn patients undergoing surgery.
- Data collected from January 2016 to December 2019, including 396 procedures.
- Hypothermia defined as body temperature below 36°C; multivariable logistic regression used to identify risk factors.
Main Results:
- The incidence of intraoperative hypothermia was 38.9%.
- Independent risk factors identified: female gender (OR: 3.358), higher American Society of Anesthesiologists (ASA) score (OR: 3.440), flame burns (OR: 5.685), and prolonged anesthesia duration (OR: 1.011).
- Hypothermia was more prevalent in patients with higher burn degrees and flame burns compared to scald burns.
Conclusions:
- Intraoperative hypothermia is a significant concern in pediatric burn surgery.
- Specific patient and procedural factors, including female gender, higher ASA score, flame burns, and longer anesthesia duration, are associated with increased risk.
- Targeted interventions may be necessary to mitigate hypothermia in high-risk pediatric burn patients.
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