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World J Gastrointest Surg. Apr 27, 2026; 18(4): 116768 Published online Apr 27, 2026. doi: 10.4240/wjgs.v18.i4.116768
Impact of perioperative temperature management nursing quality on postoperative infectious complications in patients undergoing gastrointestinal surgery
Hai-Yan Jiang
Hai-Yan Jiang, Department of Hospital-Acquired Infection Control, Wuxi No. 8 People’s Hospital, Wuxi 214000, Jiangsu Province, China
Author contributions: Jiang HY was responsible for the research design, experimental implementation, data analysis, and writing of the manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Wuxi No. 8 People’s Hospital (Approval No. 2025-Y-29).
Informed consent statement: All study participants and their legal guardians provided written informed consent before enrollment.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Received: January 13, 2026 Revised: February 5, 2026 Accepted: March 6, 2026 Published online: April 27, 2026 Processing time: 100 Days and 21.8 Hours
Core Tip
Core Tip: This 1:4 retrospective study of 45 patients who underwent elective gastrointestinal surgery identified the lowest intraoperative body temperature and temperature management compliance scores as independent risk factors for postoperative infectious complications. This association was significantly modified by the surgical approach (open vs laparoscopic) and the diabetes status. The underlying mechanisms involve impaired microcirculation (increased core-to-skin temperature gradient and decreased peripheral perfusion index), metabolic dysregulation (reduced lactate clearance), and increased systemic inflammation (elevated interleukin-6). Standardized individualized temperature management protocols are crucial, especially in open surgery and patients with diabetes.
