Clinical indicator exploring the quality of perioperative medicine from the perspective of the care process

2023 Fiscal Year Final Research Report

• Project/Area Number: 21K08946
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 55050:Anesthesiology-related
• Research Institution: Gifu University
• Principal Investigator: NAGASE Kiyoshi 岐阜大学, 医学部附属病院, 准教授 (90345786)
• Project Period (FY): 2021-04-01 – 2024-03-31
• Keywords: 周術期 / 体温 / 医療情報

Outline of Final Research Achievements

The previous study was conducted on the exploration of clinical indicators on surgical patient outcomes using perioperative big data. After approval by the Ethics Review Board, the current study used historical data to further refine the study. The study examined the perioperative temperature control from pre-operative to intra-operative and post-operative variations by body weight, as well as the underlying factors. Patients weighing less than 40 kg had higher preoperative axillary temperatures, intraoperative temperatures were significantly lower, and postoperative temperatures were higher in patients weighing less than 40 kg. Although this was influenced by the location of measurement and intraoperative muscle mass, the prediction of temperature decrease was considered important from the perspective of the perioperative care process.

Free Research Field

麻酔学

Academic Significance and Societal Importance of the Research Achievements

周術期における体温管理の重要性は、感染対策や出血リスクの軽減など医療安全だけでなく、医療の質にも大きな影響を及ぼす。低体重の患者に対して特別な対応が求められるという研究は従来に認められなかった。この研究で明らかになった事実として、従来と同様の周術期管理を行ったにも関わらず、それでも低体重の患者に対する加温方法は不十分である可能性があること、低体重であるという要素が低体温に陥るリスクを事前に十分に把握することなど、周術期医療の質向上に向けて重要な対策の1つを明らかにしたことである。