Evidence map›Paper›PMID 41786953›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Association of post-tonsillectomy fever with postoperative complications.

Noa Sheffer, Itai Pansky, Itai Hazan, Oded Cohen, Inbal Golan- Tripto, Daniel Yafit, Nir Amitai, Oren Ziv

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Noa ShefferDepartment of Otolaryngology-Head & Neck Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Itai PanskyClinical Research Center, Soroka University Medical Center and, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Itai HazanClinical Research Center, Soroka University Medical Center and, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Oded CohenDepartment of Otolaryngology-Head & Neck Surgery, Assuta Ashdod Hospital, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Inbal Golan- TriptoPediatric Pulmonary Unit, Saban Children's Hospital, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Daniel YafitDepartment of Otolaryngology-Head & Neck Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Nir AmitaiClinical Research Center, Soroka University Medical Center and, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Oren ZivDepartment of Otolaryngology-Head & Neck Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. orenziv11@gmail.com.ORCID http://orcid.org/0000-0003-3286-9248

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the incidence and risk factors associated with postoperative fever following tonsillectomy or adenotonsillectomy in pediatric patients, and explore its potential correlation with subsequent hemorrhage, emergency room (ER) visits, and rehospitalizations. STUDY

designRetrospective cohort study.

settingPediatric patients undergoing total or partial tonsillectomy or adenotonsillectomy between 2015 and 2022 across six medical centers.

methodsPatients were divided based on recorded postoperative temperature (within 24 h) into study (temperature ≥ 38 °C) and control group (Temperature < 38 °C). Primary outcomes included hemorrhage complications within 14 days post-procedure, secondary outcomes included ER visits and rehospitalizations.

resultsThis study included 2,512 pediatric patients; 426 in the study group and 2,086 in the control group. The study group exhibited significantly higher proportions of post-operative hemorrhages (6.8% vs. 3.4%, p < 0.001), increased ER visits (18% vs 9.6%, p < 0.001), elevated readmission rates (12% vs 5.7%, p < 0.001), and longer postoperative hospital stay (median 2.00 day [IQR 1.00, 2.00] vs 1.00 day [IQR 0.00, 1.00], p < 0.001) compared to the control group. Multivariate analyses controlled for age, sex, and operation type showed post-operative fever correlated significantly with hemorrhage, readmissions, and ER visits (OR 3.23, p < 0.001, OR 2.93, p < 0.001, OR 2.36, p < 0.001 respectively).

conclusionsPostoperative fever independently correlates with an increased risk of hemorrhage and readmission following tonsillectomy or adenotonsillectomy. These findings suggest that fever may serve as an early marker for complications, reinforcing its clinical importance in guiding postoperative care strategies and caregiver education. LEVEL OF EVIDENCE: 3.

Indexed as

AdenoidectomyFeverPostoperative ComplicationsPostoperative HemorrhageTonsillectomyAdolescentChildChild, PreschoolEmergency Room VisitsFemaleHumansIncidenceInfantMalePatient ReadmissionRetrospective StudiesAdenoidectomyBleedingComplicationsFeverTonsillectomy

Identifiers

PMID41786953
PMCPMC13053598

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.