Reduction in the duration of postoperative fever following NUSS surgery during the COVID-19 pandemic
Abstract Background Our study aimed to compare the prevalence of postoperative fever during the COVID-19 pandemic period with that of the preceding non-pandemic period. Methods A retrospective analysis was conducted on patients with pectus excavatum (PE) undergoing minimally invasive repair (also ca...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Italian Journal of Pediatrics |
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| Online Access: | https://doi.org/10.1186/s13052-023-01524-6 |
| _version_ | 1797557661714087936 |
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| author | An Jia Wang Qiang Deqin Zhuoga Yu Di Yang Zhaocong Mo Xuming |
| author_facet | An Jia Wang Qiang Deqin Zhuoga Yu Di Yang Zhaocong Mo Xuming |
| author_sort | An Jia |
| collection | DOAJ |
| description | Abstract Background Our study aimed to compare the prevalence of postoperative fever during the COVID-19 pandemic period with that of the preceding non-pandemic period. Methods A retrospective analysis was conducted on patients with pectus excavatum (PE) undergoing minimally invasive repair (also called NUSS procedure) at Nanjing Children’s Hospital from January 1, 2017 to March 1, 2019 (Group 2019), and from January 1, 2020 to March 1, 2021 (Group 2021). Data from a total of 284 patients, consisting of 200 (70.4%) males and 84 (29.6%) females with an average age of 9.73 ± 3.41 (range, 4 to 17) years, were collected. The presence of post-operative fever (defined as a forehead temperature of 37.5℃ or above within 72 h post-surgery), as well as the time of operation, duration of postoperative mechanical ventilator and urinary catheter use, and length of hospitalization were all assessed in admitted patients from Group 2019 (n = 144) and Group 2021 (n = 140). Postoperative white blood cell (WBC), C-reactive protein (CRP) levels, and prevalence of postoperative complications (i.e., pneumothorax, pulmonary atelectasis, pneumonia, wound infection, and dehiscence) were also determined. Result Our results showed a statistically significant decrease in the incidence of postoperative fever within 24 to 72 h of surgery in patients admitted from Group 2019 as compared to Group 2021 (p < 0.001), as well as a decrease in peak body temperature within 72 h (p < 0.05). Meanwhile, no significant differences were observed in age and body mass index (BMI), time of operation, or duration of postoperative mechanical ventilator and urinary catheter use between the two groups (p > 0.05). The average hospitalization length of Group 2021 was significantly shorter than Group 2019 (12.49 ± 2.57 vs. 11.85 ± 2.19 days, p < 0.05). Furthermore, while the WBC count between the two groups 24 h after surgery showed a statistical difference (p < 0.05), no differences in CRP levels or the incidence of postoperative complications were observed (p > 0.05). Conclusion The prevalence of postoperative fever within 72 h of surgery and the length of hospital stay for patients with PE undergoing NUSS surgery were both decreased in Group 2021. We propose that the above phenomenon may be related to increased used of personal protection equipment (such as surgical masks and filtering facepiece respirators (FFRs)) by physicians, nurses, and the patients themselves. |
| first_indexed | 2024-03-10T17:19:47Z |
| format | Article |
| id | doaj.art-efffc5bae76b4eea9ced6d3fc7cf94db |
| institution | Directory Open Access Journal |
| issn | 1824-7288 |
| language | English |
| last_indexed | 2024-03-10T17:19:47Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Italian Journal of Pediatrics |
| spelling | doaj.art-efffc5bae76b4eea9ced6d3fc7cf94db2023-11-20T10:23:41ZengBMCItalian Journal of Pediatrics1824-72882023-09-014911510.1186/s13052-023-01524-6Reduction in the duration of postoperative fever following NUSS surgery during the COVID-19 pandemicAn Jia0Wang Qiang1Deqin Zhuoga2Yu Di3Yang Zhaocong4Mo Xuming5Nanjing Children’s Hospital, Clinical Teaching Hospital of Medical School, Nanjing UniversityChildren’s Hospital of Nanjing Medical UniversityNanjing Children’s Hospital, Clinical Teaching Hospital of Medical School, Nanjing UniversityChildren’s Hospital of Nanjing Medical UniversityChildren’s Hospital of Nanjing Medical UniversityNanjing Children’s Hospital, Clinical Teaching Hospital of Medical School, Nanjing UniversityAbstract Background Our study aimed to compare the prevalence of postoperative fever during the COVID-19 pandemic period with that of the preceding non-pandemic period. Methods A retrospective analysis was conducted on patients with pectus excavatum (PE) undergoing minimally invasive repair (also called NUSS procedure) at Nanjing Children’s Hospital from January 1, 2017 to March 1, 2019 (Group 2019), and from January 1, 2020 to March 1, 2021 (Group 2021). Data from a total of 284 patients, consisting of 200 (70.4%) males and 84 (29.6%) females with an average age of 9.73 ± 3.41 (range, 4 to 17) years, were collected. The presence of post-operative fever (defined as a forehead temperature of 37.5℃ or above within 72 h post-surgery), as well as the time of operation, duration of postoperative mechanical ventilator and urinary catheter use, and length of hospitalization were all assessed in admitted patients from Group 2019 (n = 144) and Group 2021 (n = 140). Postoperative white blood cell (WBC), C-reactive protein (CRP) levels, and prevalence of postoperative complications (i.e., pneumothorax, pulmonary atelectasis, pneumonia, wound infection, and dehiscence) were also determined. Result Our results showed a statistically significant decrease in the incidence of postoperative fever within 24 to 72 h of surgery in patients admitted from Group 2019 as compared to Group 2021 (p < 0.001), as well as a decrease in peak body temperature within 72 h (p < 0.05). Meanwhile, no significant differences were observed in age and body mass index (BMI), time of operation, or duration of postoperative mechanical ventilator and urinary catheter use between the two groups (p > 0.05). The average hospitalization length of Group 2021 was significantly shorter than Group 2019 (12.49 ± 2.57 vs. 11.85 ± 2.19 days, p < 0.05). Furthermore, while the WBC count between the two groups 24 h after surgery showed a statistical difference (p < 0.05), no differences in CRP levels or the incidence of postoperative complications were observed (p > 0.05). Conclusion The prevalence of postoperative fever within 72 h of surgery and the length of hospital stay for patients with PE undergoing NUSS surgery were both decreased in Group 2021. We propose that the above phenomenon may be related to increased used of personal protection equipment (such as surgical masks and filtering facepiece respirators (FFRs)) by physicians, nurses, and the patients themselves.https://doi.org/10.1186/s13052-023-01524-6Postoperative feverNUSS procedurepectus excavatumCOVID-19Surgical mask |
| spellingShingle | An Jia Wang Qiang Deqin Zhuoga Yu Di Yang Zhaocong Mo Xuming Reduction in the duration of postoperative fever following NUSS surgery during the COVID-19 pandemic Italian Journal of Pediatrics Postoperative fever NUSS procedure pectus excavatum COVID-19 Surgical mask |
| title | Reduction in the duration of postoperative fever following NUSS surgery during the COVID-19 pandemic |
| title_full | Reduction in the duration of postoperative fever following NUSS surgery during the COVID-19 pandemic |
| title_fullStr | Reduction in the duration of postoperative fever following NUSS surgery during the COVID-19 pandemic |
| title_full_unstemmed | Reduction in the duration of postoperative fever following NUSS surgery during the COVID-19 pandemic |
| title_short | Reduction in the duration of postoperative fever following NUSS surgery during the COVID-19 pandemic |
| title_sort | reduction in the duration of postoperative fever following nuss surgery during the covid 19 pandemic |
| topic | Postoperative fever NUSS procedure pectus excavatum COVID-19 Surgical mask |
| url | https://doi.org/10.1186/s13052-023-01524-6 |
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