This measure is calculated based on data extracted from the electronic medical record combined with administrative data sources such as professional fee and discharge diagnoses data. This measure is explicitly not based on provider self-attestation.
Percentage of patients, regardless of age, who undergo surgical or therapeutic procedures under general or neuraxial anesthesia of 60 minutes duration or longer for whom a body temperature was less than or equal to 36 degrees Celsius (or 96.8 degrees Fahrenheit) recorded within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time
At least one body temperature measurement equal to or greater than 36 degrees Celsius (or 96.8 degrees Fahrenheit) achieved within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time. This measure is expressed as an outcome or inverse measure, where a lower score means success.
Temperature documented in within the postop vital sign note in the anesthetic record or temperatures documented and mapped to the temperature physiologic concepts are acceptable sources for this measure. Conversion from F to C: F=32 +9/5 (°C)
For sites that do not contribute PACU data to ASPIRE, this measure will only capture data documented by the anesthesia provider on the intraoperative anesthetic record.
Artifact algorithm:
Algorithm for determining Case Duration:
Case Start:
Case End:
Provider present for longest duration of the case per staff role. See ‘Other Measure Build Details’ section of this specification to view the algorithm used for determining case duration.
In the event that two or more providers in the same class are signed in for the same duration, all providers signed in for the longest duration will be attributed.
Temperature MPOG Concept IDs |
Exclusion MPOG Concept IDs |
||
3050 |
Temp 1- Unspecified Site |
50037 |
Intentional hypothermia |
3051 |
Temp 2- Unspecified Site |
70142 |
Assessment and Plan-Emergent Status |
3052 |
Temp 1- Monitoring Site |
|
|
3053 |
Temp 2- Monitoring Site |
|
|
3031 |
Temperature- Temporal Artery |
|
|
3054 |
Temperature- Skin |
|
|
3055 |
Temperature- Esophageal |
|
|
3056 |
Temperature- Blood |
|
|
3057 |
Temperature- Tympanic |
|
|
3058 |
Temperature- Bladder |
|
|
3059 |
Temperature- Nasopharyngeal |
|
|
3060 |
Temperature- Axillary |
|
|
3061 |
Temperature- Rectal |
|
|
50174 |
Postoperative vital signs |
|
Perioperative hypothermia is defined as a core temperature less than 36 degrees Celsius by both the National Institute of Health and Clinical Excellence and the American Heart Association.1,2 It is not uncommon for a patient’s core temperature to drop during surgery due to anesthetic induced peripheral vasodilation, exposure of skin during the surgical prep or impaired heat distribution. Pediatric patients are more likely to develop perioperative hypothermia due to a high surface area to weight ratio, minimal subcutaneous fat and inability to regulate their own temperature.3 Perioperative hypothermia can result in multiple adverse effects including surgical site infections, cardiovascular events, impaired wound healing and increased hospital length of stay. Such adverse effects are prevented through maintenance of normothermia intraoperatively.4-9
Not applicable.