Studying the effects of chemical shivering in diabetic and non-diabetic patients after orthopedic surgery

Diabetic patients may present different reactions to chemical postoperative shivering. The current study aimed to compare the rate of chemical shivering after orthopedic surgery in diabetic and non-diabetic patients. In this study, 567 patients were scheduled for elective orthopedic surgery who were selected using the census method. Participants were separated into two groups of diabetic and non-diabetic patients. Chemical shivering intensity in the recovery unit was measured using the Nekasuchi System and compared between both groups. In total, 108 (19.41%) patients presented chemical postoperative shivering (13 (12.03%) diabetic and 95 (87.97%) non-diabetic patients). Chemical shivering was significantly higher in non-diabetic patients (P=0.001). Diabetes causes a decreased prevalence of chemical postoperative shivering so that non-diabetic patients are more susceptible to postoperative shivering than diabetic patients.