This meta-analysis aims to investigate the impact of hypothermia on surgical outcomes in high-risk surgical patients. The study utilized databases including Google Scholar, MEDLINE, TÜRKMEDLINE, ULAKBİM, and CINAHL. A comprehensive search from January 2009 to May 2019 yielded 193 studies, with five meeting the inclusion criteria. Three independent authors conducted a quality assessment of the studies using established criteria, achieving a high inter-rater kappa agreement rate of 0.76. Two of the included studies were descriptive; the remaining were retrospective, retrospective cohort, and descriptive cross-sectional, respectively. The sample sizes ranged from 57 to 731, and none of the studies employed a standardized scale for evaluation. The evaluation of these studies indicates a negative impact of hypothermia on the surgical process, particularly in terms of recovery.
