Impact of a Thermal Care Bundle (Short Prewarming) on Shivering and Thermal Comfort in Osteosynthesis Patients: A Randomized Controlled Trial.
Esther Espuñes-Mestres, Jordi Castillo-García, Suresh K Sharma et al.
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In 30 seconds
This randomized controlled trial evaluated the effect of a thermal care bundle, including a short prewarming period, on shivering and thermal comfort in 148 patients undergoing osteosynthesis. The study found that the intervention group had a cumulative incidence of shivering of 6.5% compared to 9.9% in the control group. While shivering incidence was not significantly reduced, the bundle improved perceived thermal comfort and reduced the risk of thermal discomfort by 60.5%.
Key findings
- Cumulative incidence of shivering was 6.5% in the bundle group versus 9.9% in the control group.
- The thermal care bundle was associated with a 60.5% relative reduction in the risk of thermal discomfort.
- The mean difference in core temperature for shivering patients was 0.33 °C compared to 0.12 °C for non-shivering patients.
Why it matters
Improving thermal comfort during surgery can enhance patient satisfaction and potentially reduce physiological stress responses. Understanding the effectiveness of thermal care interventions is crucial for optimizing perioperative care.