Risk Factors for Postoperative Shivering After Oral and Maxillofacial Surgery

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抄録

Purpose Postoperative shivering is a frequent complication of anesthesia. However, there are few reports about postoperative shivering in oral and maxillofacial surgery. Postoperative shivering in patients after osteotomy was observed from April 2008 to September 2015. This retrospective study investigated the risk factors of postoperative shivering in oral and maxillofacial surgery. Patients and Methods Anesthesia records of patients who underwent an osteotomy of the maxilla or mandible were checked. A patient's background (gender, age, height, and weight), anesthesia time, operative time, fentanyl, remifentanil, fluid volume, urine volume, blood loss volume, agent for anesthetic maintenance, rectal temperature at the end of surgery, and type of surgery were recorded in addition to the occurrence of postoperative shivering. In the univariate analysis, the Fisher exact test and the χ2 test were used, and a multivariable analysis was performed using stepwise logistic regression to determine risk factors of postoperative shivering. Results In this study, 233 cases were investigated, and 24 patients (11.5%) had postoperative shivering. The occurrence of postoperative shivering was correlated with blood loss volume (shivering group, 633.9 ± 404.8 mL; nonshivering group, 367.0 ± 312.6 mL; P < .01) and core temperature at the end of surgery (shivering group, 37.2 ± 0.6°C; nonshivering group, 37.5 ± 0.5°C; P < .01). Two variables were associated with postoperative shivering. Rectal temperature at the end of surgery was the highest risk factor (odds ratio = 2.560277; 95% confidence interval, 1.236774-5.327362), and blood loss volume was the next highest risk factor (odds ratio = 0.997733; 95% confidence interval, 0.999-0998). Conclusion Clinicians should pay attention to postoperative shivering not only in patients with hypothermia but also in patients with substantial blood loss.

元の言語英語
ページ(範囲)2359-2362
ページ数4
ジャーナルJournal of Oral and Maxillofacial Surgery
74
発行部数12
DOI
出版物ステータス出版済み - 12 1 2016

Fingerprint

Shivering
Oral Surgery
Blood Volume
Anesthesia
Osteotomy
Temperature
Odds Ratio
Confidence Intervals
Maxilla
Fentanyl
Operative Time
Hypothermia
Mandible
Anesthetics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

これを引用

Risk Factors for Postoperative Shivering After Oral and Maxillofacial Surgery. / Tsukamoto, Masanori; Hitosugi, Takashi; Esaki, Kanako; Yokoyama, Takeshi.

:: Journal of Oral and Maxillofacial Surgery, 巻 74, 番号 12, 01.12.2016, p. 2359-2362.

研究成果: ジャーナルへの寄稿記事

@article{32e3958f24d142b3a2732cbe6822c88e,
title = "Risk Factors for Postoperative Shivering After Oral and Maxillofacial Surgery",
abstract = "Purpose Postoperative shivering is a frequent complication of anesthesia. However, there are few reports about postoperative shivering in oral and maxillofacial surgery. Postoperative shivering in patients after osteotomy was observed from April 2008 to September 2015. This retrospective study investigated the risk factors of postoperative shivering in oral and maxillofacial surgery. Patients and Methods Anesthesia records of patients who underwent an osteotomy of the maxilla or mandible were checked. A patient's background (gender, age, height, and weight), anesthesia time, operative time, fentanyl, remifentanil, fluid volume, urine volume, blood loss volume, agent for anesthetic maintenance, rectal temperature at the end of surgery, and type of surgery were recorded in addition to the occurrence of postoperative shivering. In the univariate analysis, the Fisher exact test and the χ2 test were used, and a multivariable analysis was performed using stepwise logistic regression to determine risk factors of postoperative shivering. Results In this study, 233 cases were investigated, and 24 patients (11.5{\%}) had postoperative shivering. The occurrence of postoperative shivering was correlated with blood loss volume (shivering group, 633.9 ± 404.8 mL; nonshivering group, 367.0 ± 312.6 mL; P < .01) and core temperature at the end of surgery (shivering group, 37.2 ± 0.6°C; nonshivering group, 37.5 ± 0.5°C; P < .01). Two variables were associated with postoperative shivering. Rectal temperature at the end of surgery was the highest risk factor (odds ratio = 2.560277; 95{\%} confidence interval, 1.236774-5.327362), and blood loss volume was the next highest risk factor (odds ratio = 0.997733; 95{\%} confidence interval, 0.999-0998). Conclusion Clinicians should pay attention to postoperative shivering not only in patients with hypothermia but also in patients with substantial blood loss.",
author = "Masanori Tsukamoto and Takashi Hitosugi and Kanako Esaki and Takeshi Yokoyama",
year = "2016",
month = "12",
day = "1",
doi = "10.1016/j.joms.2016.06.180",
language = "English",
volume = "74",
pages = "2359--2362",
journal = "Journal of Oral and Maxillofacial Surgery",
issn = "0278-2391",
publisher = "W.B. Saunders Ltd",
number = "12",

}

TY - JOUR

T1 - Risk Factors for Postoperative Shivering After Oral and Maxillofacial Surgery

AU - Tsukamoto, Masanori

AU - Hitosugi, Takashi

AU - Esaki, Kanako

AU - Yokoyama, Takeshi

PY - 2016/12/1

Y1 - 2016/12/1

N2 - Purpose Postoperative shivering is a frequent complication of anesthesia. However, there are few reports about postoperative shivering in oral and maxillofacial surgery. Postoperative shivering in patients after osteotomy was observed from April 2008 to September 2015. This retrospective study investigated the risk factors of postoperative shivering in oral and maxillofacial surgery. Patients and Methods Anesthesia records of patients who underwent an osteotomy of the maxilla or mandible were checked. A patient's background (gender, age, height, and weight), anesthesia time, operative time, fentanyl, remifentanil, fluid volume, urine volume, blood loss volume, agent for anesthetic maintenance, rectal temperature at the end of surgery, and type of surgery were recorded in addition to the occurrence of postoperative shivering. In the univariate analysis, the Fisher exact test and the χ2 test were used, and a multivariable analysis was performed using stepwise logistic regression to determine risk factors of postoperative shivering. Results In this study, 233 cases were investigated, and 24 patients (11.5%) had postoperative shivering. The occurrence of postoperative shivering was correlated with blood loss volume (shivering group, 633.9 ± 404.8 mL; nonshivering group, 367.0 ± 312.6 mL; P < .01) and core temperature at the end of surgery (shivering group, 37.2 ± 0.6°C; nonshivering group, 37.5 ± 0.5°C; P < .01). Two variables were associated with postoperative shivering. Rectal temperature at the end of surgery was the highest risk factor (odds ratio = 2.560277; 95% confidence interval, 1.236774-5.327362), and blood loss volume was the next highest risk factor (odds ratio = 0.997733; 95% confidence interval, 0.999-0998). Conclusion Clinicians should pay attention to postoperative shivering not only in patients with hypothermia but also in patients with substantial blood loss.

AB - Purpose Postoperative shivering is a frequent complication of anesthesia. However, there are few reports about postoperative shivering in oral and maxillofacial surgery. Postoperative shivering in patients after osteotomy was observed from April 2008 to September 2015. This retrospective study investigated the risk factors of postoperative shivering in oral and maxillofacial surgery. Patients and Methods Anesthesia records of patients who underwent an osteotomy of the maxilla or mandible were checked. A patient's background (gender, age, height, and weight), anesthesia time, operative time, fentanyl, remifentanil, fluid volume, urine volume, blood loss volume, agent for anesthetic maintenance, rectal temperature at the end of surgery, and type of surgery were recorded in addition to the occurrence of postoperative shivering. In the univariate analysis, the Fisher exact test and the χ2 test were used, and a multivariable analysis was performed using stepwise logistic regression to determine risk factors of postoperative shivering. Results In this study, 233 cases were investigated, and 24 patients (11.5%) had postoperative shivering. The occurrence of postoperative shivering was correlated with blood loss volume (shivering group, 633.9 ± 404.8 mL; nonshivering group, 367.0 ± 312.6 mL; P < .01) and core temperature at the end of surgery (shivering group, 37.2 ± 0.6°C; nonshivering group, 37.5 ± 0.5°C; P < .01). Two variables were associated with postoperative shivering. Rectal temperature at the end of surgery was the highest risk factor (odds ratio = 2.560277; 95% confidence interval, 1.236774-5.327362), and blood loss volume was the next highest risk factor (odds ratio = 0.997733; 95% confidence interval, 0.999-0998). Conclusion Clinicians should pay attention to postoperative shivering not only in patients with hypothermia but also in patients with substantial blood loss.

UR - http://www.scopus.com/inward/record.url?scp=84994344953&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84994344953&partnerID=8YFLogxK

U2 - 10.1016/j.joms.2016.06.180

DO - 10.1016/j.joms.2016.06.180

M3 - Article

C2 - 27450750

AN - SCOPUS:84994344953

VL - 74

SP - 2359

EP - 2362

JO - Journal of Oral and Maxillofacial Surgery

JF - Journal of Oral and Maxillofacial Surgery

SN - 0278-2391

IS - 12

ER -