Postoperative Fever Evaluation Following Lumbar Fusion Procedures
Objective This study aimed to determine the incidence of postoperative fever, the workup conducted for postoperative fever, the rate of subsequent fever-related diagnoses or complications, and the risk factors associated with fever following lumbar fusion. Methods A retrospective review of patients undergoing lumbar fusion was performed. For patients in whom fever (≥38.6°C) was documented, charts were reviewed for any fever workup or diagnosis. Multivariate regression was used to identify independent risk factors for the development of postoperative fever. Results A total of 868 patients met the inclusion criteria, of whom 105 exhibited at least 1 episode of fever during hospitalization. The first documentation of fever occurred during the first 24 hours in 43.8% of cases, during postoperative hours 24–48 in 53.3%, and later than 48 hours postoperatively in 2.9%. At least 1 component of a fever workup was conducted in 47 of the 105 patients who had fever, resulting in fever-associated diagnoses in 4 patients prior to discharge. Three patients who had fever during the inpatient stay developed complications after discharge. On multivariate analysis, operations longer than 150 minutes (relative risk [RR], 1.66; p=0.015) and narcotic consumption greater than 85 oral morphine equivalents on postoperative day 0 (RR, 1.53; p=0.038) were independently associated with an increased risk of developing postoperative fever. Conclusion The results of this study suggest that inpatient fever occurred in roughly 1 in 8 patients following lumbar fusion surgery. In most cases where a fever workup was performed, no cause of fever was detected. Longer operative time and increased early postoperative narcotic use may increase the risk of developing postoperative fever..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:15 |
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| Enthalten in: |
Neurospine - 15(2018), 2, Seite 154-162 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Benjamin C. Mayo [VerfasserIn] |
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| Links: |
doi.org [kostenfrei] |
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| Themen: |
Complication |
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| doi: |
10.14245/ns.1836026.013 |
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| funding: |
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|---|---|
| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
DOAJ035831103 |
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| 520 | |a Objective This study aimed to determine the incidence of postoperative fever, the workup conducted for postoperative fever, the rate of subsequent fever-related diagnoses or complications, and the risk factors associated with fever following lumbar fusion. Methods A retrospective review of patients undergoing lumbar fusion was performed. For patients in whom fever (≥38.6°C) was documented, charts were reviewed for any fever workup or diagnosis. Multivariate regression was used to identify independent risk factors for the development of postoperative fever. Results A total of 868 patients met the inclusion criteria, of whom 105 exhibited at least 1 episode of fever during hospitalization. The first documentation of fever occurred during the first 24 hours in 43.8% of cases, during postoperative hours 24–48 in 53.3%, and later than 48 hours postoperatively in 2.9%. At least 1 component of a fever workup was conducted in 47 of the 105 patients who had fever, resulting in fever-associated diagnoses in 4 patients prior to discharge. Three patients who had fever during the inpatient stay developed complications after discharge. On multivariate analysis, operations longer than 150 minutes (relative risk [RR], 1.66; p=0.015) and narcotic consumption greater than 85 oral morphine equivalents on postoperative day 0 (RR, 1.53; p=0.038) were independently associated with an increased risk of developing postoperative fever. Conclusion The results of this study suggest that inpatient fever occurred in roughly 1 in 8 patients following lumbar fusion surgery. In most cases where a fever workup was performed, no cause of fever was detected. Longer operative time and increased early postoperative narcotic use may increase the risk of developing postoperative fever. | ||
| 650 | 4 | |a Lumbar fusion | |
| 650 | 4 | |a Postoperative fever | |
| 650 | 4 | |a Infection | |
| 650 | 4 | |a Complication | |
| 650 | 4 | |a Urinary tract infection | |
| 650 | 4 | |a Pulmonary embolism | |
| 653 | 0 | |a Neurology. Diseases of the nervous system | |
| 700 | 0 | |a Brittany E. Haws |e verfasserin |4 aut | |
| 700 | 0 | |a Daniel D. Bohl |e verfasserin |4 aut | |
| 700 | 0 | |a Philip K. Louie |e verfasserin |4 aut | |
| 700 | 0 | |a Fady Y. Hijji |e verfasserin |4 aut | |
| 700 | 0 | |a Ankur S. Narain |e verfasserin |4 aut | |
| 700 | 0 | |a Dustin H. Massel |e verfasserin |4 aut | |
| 700 | 0 | |a Benjamin Khechen |e verfasserin |4 aut | |
| 700 | 0 | |a Kern Singh |e verfasserin |4 aut | |
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