Early postoperative fever in paediatric patients undergoing cochlear implant surgery

El‐Saied, Sabri; Joshua, Ben‐Zion; Tailakh, Muhammad Abu; Jagev, I.; R, Gorali; Kraus, Mordechai; Kaplan, Daniel M.

doi:10.1111/coa.13009

Cited by 9 publications

(15 citation statements)

References 11 publications

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“…In fact, POF is not unusual in CI surgery. Its incidence has been shown to be 19.2% [9], while the incidence of POF in the present study was found to be 14.5% and continues to represent a benign entity with no major clinical significance. Although there is minimal clinical significance to POF, this finding still remains a large financial burden as the POF-related work up remains high.…”

Section: Discussioncontrasting

confidence: 46%

See 1 more Smart Citation

Relationship Between Intra-Operative Hyperthermia, Post-Operative Fever and Local Infectious Complications in Children Undergoing Cochlear Implant Surgery

Ribak¹,

Ma²,

Dm³

et al. 2021

COS

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Section: Discussioncontrasting

confidence: 46%

“…Although POF rarely indicates an infection, it does quite frequently lead to very costly fever workups. We have previously described early POF following pediatric CI surgery (up to 72 hours after surgery) with an incidence of 19.2% that was unrelated to local infections or any long-term complications [9].…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Intra-Operative Hyperthermia, Post-Operative Fever and Local Infectious Complications in Children Undergoing Cochlear Implant Surgery

Ribak¹,

Ma²,

Dm³

et al. 2021

COS

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“…[ 11 , 16 , 18 – 22 ] However, it ranged from 19.2% to 71% after head and neck and other maxillofacial operations in children. [ 23 – 25 ] Some factors can cause postoperative fever in children, including bacteremia, tissue trauma, dehydration, pulmonary atelectasis, drugs such as atropine, and environmental factors like room temperature and the draping of the patient during surgery. Multivariate analysis showed that low nutritional levels were a risk factor for postoperative fever.…”

Section: Discussionmentioning

confidence: 99%

Postoperative complications in Chinese children following dental general anesthesia

et al. 2020

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Dental general anesthesia (DGA) is a safe and high-quality restorative and preventive treatment option for children with severe early childhood caries (S-ECC), who require extensive dental treatment and exhibit anxiety and emotional or cognitive immaturity or are medically compromised. However, several postoperative complications have been reported in children under DGA. This study aimed to evaluate and analyze the prevalence of the relevant factors of postoperative complications in healthy Chinese children following DGA to provide a foundation for pre-, intra-, and postoperative overall health management for healthy and disabled children after DGA. A total of 369 systematically healthy Chinese children (36–71 months old) undergoing a DGA were studied. Data were collected on patients’ histories, characteristics, anesthesia, and dental procedures. Parents or caregivers were interviewed before and 72 hours after the procedure. Data were analyzed using logistic regression. Approximately 94.86% of the enrolled children reported one or more complications. The most prevalent complication was postoperative pain (62.70%), followed by weariness, agitation, masticatory problems, drowsiness, oral bleeding, coughing, fever, sore throat, nausea, constipation, epistaxis, vomiting, excitement, and diarrhea. The long duration of the operation was a risk factor for postoperative pain and weariness. A high nutritional status could be a protective factor for postoperative fever. Prolonged operation means complex treatment, such as pulp therapy or extraction. We speculate that the longer the duration is, the more difficult the dental procedures are. The accumulation of discomfort leads to pain. We suspect that children in lower nutritional levels are more likely to suffer from bacteremia or dehydration, resulting in fever. Postoperative pain was the most prevalent complication after the DGA. A decrease in dental procedure duration might reduce the odds of postoperative pain and weariness. A high nutritional status could be a protective factor for postoperative fever. Children with low nutritional status could be more susceptible to postoperative fever.

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“…While it rarely indicates an infection or other complication, it often leads to costly fever workups. We have previously described early POF after pediatric CI surgery (up to 72 hours after surgery) with an incidence of 19.2% [9]. It was unrelated to local infectious complications and long-term implications.…”

Section: Introductionmentioning

confidence: 90%

Relationship between intra-operative hyperthermia, post-operative fever and local infectious complications in children undergoing cochlear implant surgery

Ribak¹,

Tailakh²,

Kraus³

et al. 2020

Preprint

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Objective: To examine the relationship between Intra-operative hyperthermia (IOH) and post-operative fever (POF) and local complications in children undergoing CI surgery. Study Design: Retrospective cohort study Setting: Tertiary care University Hospital. Participants: The study includes all pediatric CI surgery procedures conducted in one hospital in Israel between 2007 and 2017, A total of 213 CI procedures were performed on 191 children (ages 9 months to 17 years; mean 3.54 years) Main outcome and measure: Clinical data included demographics, type of surgery (unilateral, bilateral), presence of IOH and POF, and local infectious complications within one month after surgery Results: Ten patients (4.9%) developed IOH, of which two developed POF. Of the remaining non-IOH cases (95.1%), 29 children (14.3%) developed POF. IOH correlated with cases of bilateral CI (80% bilateral CI versus 20% unilateral CI; p = 0.002). IOH also correlated with the duration of operation (289 min versus 189 min, respectively; p = 0.025). Local complications were recorded in 30 patients: two that developed POF in the IOH group, and 28 (14.3%) in the non-IOH group. No correlation was observed between the occurrence of either IOH or POF, and the occurrence of local complications. Conclusions: IOH and POF are not uncommon in children undergoing CI surgery, yet, in the present study cohort, both conditions are not associated with the development of local infectious complications. In addition, IOH does not appear to predict the development of POF.Relationship betweenintra-operative hyperthermia, post-operative fever and local infectious complications in children undergoing cochlear implant surgery Running title: Intra-operative hyperthermia (IOH) and post-operative fever (POF) during CI surgery

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Early postoperative fever in paediatric patients undergoing cochlear implant surgery

Cited by 9 publications

References 11 publications

Relationship Between Intra-Operative Hyperthermia, Post-Operative Fever and Local Infectious Complications in Children Undergoing Cochlear Implant Surgery

Relationship Between Intra-Operative Hyperthermia, Post-Operative Fever and Local Infectious Complications in Children Undergoing Cochlear Implant Surgery

Postoperative complications in Chinese children following dental general anesthesia

Relationship between intra-operative hyperthermia, post-operative fever and local infectious complications in children undergoing cochlear implant surgery

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