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. 2022 Jul 4;103:26–33. doi: 10.1016/j.jocn.2022.06.024

Table 1.

Causes of postoperative fever classified by type of surgery and day of fever onset.

Cause of fever Overall (N = 102) Type of surgery
Day of fever onset
Cranial (N = 76) Spinal (N = 26) Early postoperative (Days 0–1) Intermediate postoperative (Days 2–7) Late postoperative (Day 8 and later)
UTI 14 (13.7%) 10 4 3 (9.1%) 8 (16.7%) 3 (19%)
Aseptic meningitis 11 (10.8%) 11 2 (3%) 5 (10.4%) 4 (14.3%)
Wound infection 8 (7.8%) 5 3 2 (4.2%) 6 (28.5%)
Pneumonia 6 (5.8%) 5 1 2 (6.1%) 4 (8.3%)
Unclassified 5 (4.9%) 5 4 (8.3%) 1 (4.8%)
Bacterial meningitis 4 (3.9%) 4 3 (9.1%) 1 (4.8%)
Thrombophlebitis 3 (2.9%) 3 2 (4.2%) 1 (4.8%)
COVID-19 2 (1.9%) 0* 2 2 (4.2%) 0*
Multiple foci 2 (1.9%) 2 2 (4.2%)
Catheter-associated blood stream infection (CABSI) 1 (1%) 1 1 (4.8%)
Miscellaneous 6 (5.8%) 6 3 (9.1%) 3 (14.3%)
Transient elevated temperature (TET) 40 (39.2%) 25 15 20 (60.6%) 19 (39.5%) 1 (4.8%)
Total 102 76 26 33 48 21

*One patient had postoperative COVID infection 31 days after surgery incidentally detected on preoperative testing for a VP shunt.