Trial Outcomes & Findings for The Effects of Ambient Temperature and Forced-air Warming on Intraoperative Core Temperature (NCT NCT02715076)

NCT ID: NCT02715076

Last Updated: 2021-05-11

Results Overview

Rate of core temperature change from 1 to 3 hours after induction of anesthesia (°C/hour ) linear mixed-effects model to assess the effects of ambient temperature, forced-air warming and their interaction on the rate of core temperature change during 1 to 3h after induction

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

292 participants

Primary outcome timeframe

from 1 to 3 hours after induction of anesthesia

Results posted on

2021-05-11

Participant Flow

Participant milestones

Participant milestones
Measure
Ambient Temp 19°C & Passive Insulation
Ambient Temperature 19°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 19°C: Ambient Temperature 19°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 19°C & Forced-air Warming
Ambient Temperature 19°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 19°C: Ambient Temperature 19°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Ambient Temp 21°C & Passive Insulation
Ambient Temperature 21°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 21°C: Ambient Temperature 21°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 21°C & Forced-air Warming
Ambient Temperature 21°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 21°C: Ambient Temperature 21°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Ambient Temp 23°C & Passive Insulation
Ambient Temperature 23°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 23°C: Ambient Temperature 23°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 23°C & Forced-air Warming
Ambient Temperature 23°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 23°C: Ambient Temperature 23°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Overall Study
STARTED
48
50
49
50
47
48
Overall Study
COMPLETED
48
50
49
50
47
48
Overall Study
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Effects of Ambient Temperature and Forced-air Warming on Intraoperative Core Temperature

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ambient Temp 19°C & Passive Insulation
n=48 Participants
Ambient Temperature 19°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 19°C: Ambient Temperature 19°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 19°C & Forced-air Warming
n=50 Participants
Ambient Temperature 19°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 19°C: Ambient Temperature 19°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Ambient Temp 21°C & Passive Insulation
n=49 Participants
Ambient Temperature 21°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 21°C: Ambient Temperature 21°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 21°C & Forced-air Warming
n=50 Participants
Ambient Temperature 21°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 21°C: Ambient Temperature 21°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Ambient Temp 23°C & Passive Insulation
n=47 Participants
Ambient Temperature 23°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 23°C: Ambient Temperature 23°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 23°C & Forced-air Warming
n=48 Participants
Ambient Temperature 23°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 23°C: Ambient Temperature 23°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Total
n=292 Participants
Total of all reporting groups
Age, Continuous
50 years
STANDARD_DEVIATION 12 • n=5 Participants
54 years
STANDARD_DEVIATION 12 • n=7 Participants
54 years
STANDARD_DEVIATION 13 • n=5 Participants
57 years
STANDARD_DEVIATION 11 • n=4 Participants
57 years
STANDARD_DEVIATION 11 • n=21 Participants
54 years
STANDARD_DEVIATION 12 • n=8 Participants
54 years
STANDARD_DEVIATION 12 • n=8 Participants
Sex: Female, Male
Female
29 Participants
n=5 Participants
27 Participants
n=7 Participants
24 Participants
n=5 Participants
18 Participants
n=4 Participants
22 Participants
n=21 Participants
24 Participants
n=8 Participants
144 Participants
n=8 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
23 Participants
n=7 Participants
25 Participants
n=5 Participants
32 Participants
n=4 Participants
25 Participants
n=21 Participants
24 Participants
n=8 Participants
148 Participants
n=8 Participants

PRIMARY outcome

Timeframe: from 1 to 3 hours after induction of anesthesia

Population: We plotted the mean core temperatures at 10-minute intervals. The trend of core temperature in each of the six groups between 1 to 3 hours was roughly linear. We thus used the slope (change in °C/hour) to characterize the rate sat which intraoperative core temperature changed.

Rate of core temperature change from 1 to 3 hours after induction of anesthesia (°C/hour ) linear mixed-effects model to assess the effects of ambient temperature, forced-air warming and their interaction on the rate of core temperature change during 1 to 3h after induction

Outcome measures

Outcome measures
Measure
Ambient Temp 19°C & Passive Insulation
n=48 Participants
Ambient Temperature 19°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 19°C: Ambient Temperature 19°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 19°C & Forced-air Warming
n=50 Participants
Ambient Temperature 19°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 19°C: Ambient Temperature 19°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Ambient Temp 21°C & Passive Insulation
n=49 Participants
Ambient Temperature 21°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 21°C: Ambient Temperature 21°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 21°C & Forced-air Warming
n=50 Participants
Ambient Temperature 21°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 21°C: Ambient Temperature 21°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Ambient Temp 23°C & Passive Insulation
n=47 Participants
Ambient Temperature 23°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 23°C: Ambient Temperature 23°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 23°C & Forced-air Warming
n=48 Participants
Ambient Temperature 23°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 23°C: Ambient Temperature 23°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Rate of Core Temperature Change
-0.18 degree C
Standard Deviation 0.03
0.05 degree C
Standard Deviation 0.03
-0.06 degree C
Standard Deviation 0.03
0.07 degree C
Standard Deviation 0.03
-0.05 degree C
Standard Deviation 0.03
0.02 degree C
Standard Deviation 0.03

Adverse Events

Ambient Temp 19°C & Passive Insulation

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Ambient Temp 19°C & Forced-air Warming

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Ambient Temp 21°C & Passive Insulation

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Ambient Temp 21°C & Forced-air Warming

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Ambient Temp 23°C & Passive Insulation

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Ambient Temp 23°C & Forced-air Warming

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ambient Temp 19°C & Passive Insulation
n=48 participants at risk
Ambient Temperature 19°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 19°C: Ambient Temperature 19°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 19°C & Forced-air Warming
n=50 participants at risk
Ambient Temperature 19°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 19°C: Ambient Temperature 19°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Ambient Temp 21°C & Passive Insulation
n=49 participants at risk
Ambient Temperature 21°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 21°C: Ambient Temperature 21°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 21°C & Forced-air Warming
n=50 participants at risk
Ambient Temperature 21°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 21°C: Ambient Temperature 21°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Ambient Temp 23°C & Passive Insulation
n=47 participants at risk
Ambient Temperature 23°C and Passive Insulation: patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping. Ambient Temperature 23°C: Ambient Temperature 23°C Passive insulation: Patients assigned to passive insulation will be covered as usual with a cotton gown and single layer of cloth surgical draping.
Ambient Temp 23°C & Forced-air Warming
n=48 participants at risk
Ambient Temperature 23°C and Forced-air Warming: patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface. Ambient Temperature 23°C: Ambient Temperature 23°C Forced-air cover (Bair hugger 63500, 3M): Patients assigned to forced-air warming will also be covered with a gown and surgical drapes, but a forced-air cover (Bair hugger 63500, 3M) will be inserted between the gown and the skin surface.
Infections and infestations
surgical site infection
2.1%
1/48 • Number of events 1 • 1 month postoperatively
AKI, SSI
2.0%
1/50 • Number of events 1 • 1 month postoperatively
AKI, SSI
2.0%
1/49 • Number of events 1 • 1 month postoperatively
AKI, SSI
2.0%
1/50 • Number of events 1 • 1 month postoperatively
AKI, SSI
2.1%
1/47 • Number of events 1 • 1 month postoperatively
AKI, SSI
4.2%
2/48 • Number of events 2 • 1 month postoperatively
AKI, SSI

Additional Information

Dr. Daniel I. Sessler

Department of outcomes research Cleveland Ohio

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place