{"doi":"10.1093/ejcts/ezaf342","title":"Evaluation of a Perioperative Hypothermia Prevention Protocol in Thoracic Surgery with Comparison to Historical Control","abstract":"OBJECTIVES: Perioperative hypothermia, defined as a temperature <36.0°C, negatively impacts surgical outcomes. The purpose of this study was to evaluate the efficacy of a perioperative hypothermia prevention protocol for thoracic surgery with the aim of reducing incidence and improving outcomes. METHODS: A universal perioperative hypothermia prevention protocol was developed and implemented at 1 academic institution. All consecutive patients who underwent robotic-assisted thoracic surgery (RATS) pulmonary resection were included in the interventional cohort. Patient temperature, and change in temperature, were measured at 5 time points and across 4 intervals. Outcomes included the occurrence of 30-day overall morbidity and any infectious complications. Interventional cohort patients were compared to a historical control. RESULTS: Of 417 patients, 104 (24.9%) were in the intervention and 313 (75.1%) were in the historic control group. Patients in the intervention group had significantly decreased risk-adjusted odds of experiencing a temperature <36.0°C (odds ratio: 0.01 [95% confidence interval: 0.01-0.08]) or a temperature <35.0°C (0.06 [0.02-0.21]). Patients who had a temperature <35.5°C or <35.0°C had significantly increased risk-adjusted odds of overall morbidity (2.22 [1.18-4.17] and 2.17 [1.19-4.00]) and infectious morbidity (3.45 [1.52-8.33] and 3.23 [1.54-6.67]). CONCLUSIONS: Implementation of a thoracic perioperative hypothermia prevention protocol was associated with decreased risk-adjusted odds of hypothermia exposure with observed improvement in patient outcomes. IRB APPROVAL: COMIRB #22-2045, Approved 01/09/2023.","journal":"European Journal of Cardio-Thoracic Surgery","year":2025,"id":534969,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9662,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1418114,"name":"Micaella Zubkov","orcid":"0000-0002-0617-6213","position":1,"is_corresponding":false},{"id":375948,"name":"Michael R. Bronsert","orcid":"0000-0003-1879-6193","position":2,"is_corresponding":false},{"id":524095,"name":"Benjamin Abrams","orcid":"0000-0002-6961-9616","position":3,"is_corresponding":false},{"id":772351,"name":"Simran Randhawa","orcid":"0000-0002-5234-7108","position":4,"is_corresponding":false},{"id":491169,"name":"Elizabeth A. David","orcid":null,"position":5,"is_corresponding":false},{"id":1259346,"name":"John D. Mitchell","orcid":"0000-0001-6934-2461","position":6,"is_corresponding":false},{"id":432107,"name":"Robert A. Meguid","orcid":"0000-0003-2646-4252","position":7,"is_corresponding":false},{"id":1074767,"name":"Christina M. Stuart","orcid":"0000-0002-9851-8486","position":0,"is_corresponding":true}],"reference_count":24,"raw_metadata":null,"created_at":"2026-07-19T02:51:52.019261Z","pmid":"41056404","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}