Prevalence and risk factors for postanaesthetic shivering

Nurul Maya Sharip

Publication:
Prevalence and risk factors for postanaesthetic shivering

dc.contributor.affiliation	#PLACEHOLDER_PARENT_METADATA_VALUE#	en_US
dc.contributor.author	Nurul Maya Sharip	en_US
dc.contributor.supervisor	Ariff Osman, Ph.D	en_US
dc.contributor.supervisor	Mohd Basri Mat Nor, Ph.D	en_US
dc.contributor.supervisor	Suhaila Nanyan, Ph.D	en_US
dc.date.accessioned	2024-10-09T04:37:51Z
dc.date.available	2024-10-09T04:37:51Z
dc.date.issued	2020
dc.description.abstract	Postanaesthetic shivering is one of the common complications affecting patients who undergo surgical procedure in operation theatre. Shivering can occur in patients who received either general or neuroaxial anaesthesia. Although it is not a major complication, it gives negative consequences to patient, might delay in wound healing and cause interruption in vital signs monitoring perioperatively. We conducted this study to determine the prevalence and to find the potential risk factors that might contribute to the occurrence of postanaesthetic shivering in our operation theatre. Patients who were planned for surgery, either elective or emergency that fulfilled the inclusion criteria were recruited in this study involving 143 patients. Demographic characteristics, details of surgery and anaesthesia and occurrence of postanaesthetic shivering were documented and analyzed. The prevalence of postanaesthetic shivering in our operation theatre was 18.9%. Chi-square Test analysis of demographic characteristic showed race contributed to the postanaesthetic shivering with p value of 0.038. By using Multiple Logistic Regression Analysis, Malay has 6.71 times odds of postanaesthetic shivering as compared to other ethnic group. Increased anaesthesia duration and intraoperative lowest core body temperature (˚C) was shown to increase the odds of postanaesthetic shivering by 1.007 and 0.441 times prospectively. Subjects with comorbidities had 3.689 times odds of postanaesthetic shivering as compared to those without. Subjects with Diabetes Mellitus and who received Morphine had 0.189 and 0.158 times odds of postanaesthetic shivering as compared to those who do not. Based on Multivariate Analysis of Variance, using the Wilk’s Lambda test and an alpha level of 0.05, this test is significant (Wilk’s = 0.95, F (2,142) =3.683, p = 0.028 < 0.05). This study concluded that intraoperative lowest core body temperature and postoperative core body temperature were associated with occurrence of postanaesthetic shivering. The prevalence of postanaesthetic shivering in our centre is considered low as compared to previous study conducted in Malaysia. Several factors were identified to cause postanaesthteic shivering which are ethnicity, duration of anaesthesia, intraoperative lowest core body temperature, patients with multiple comorbidities and patients who received Morphine as intraoperative analgesia.	en_US
dc.description.callnumber	t RD 82.7 S53 N9744P 2020	en_US
dc.description.identifier	Thesis : Prevalence and risk factors for postanaesthetic shivering / by Nurul Maya binti Sharip	en_US
dc.description.identity	t11100484917NurulMayaBintiSharip	en_US
dc.description.kulliyah	Kulliyyah of Medicine	en_US
dc.description.nationality	Malaysian	en_US
dc.description.notes	Thesis (MMA)--International Islamic University Malaysia, 2020.	en_US
dc.description.physicaldescription	xi, 72 leaves ; 30cm.	en_US
dc.description.programme	Master of Medicine (Anaesthesiology)	en_US
dc.identifier.uri	https://studentrepo.iium.edu.my/handle/123456789/10899
dc.language.iso	en	en_US
dc.publisher	Kuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2020	en_US
dc.subject.lcsh	Anesthetic -- Side effects	en_US
dc.subject.lcsh	Shivering (Physiological effect)	en_US
dc.title	Prevalence and risk factors for postanaesthetic shivering	en_US
dc.type	Master Thesis	en_US
dspace.entity.type	Publication