ArticlePituitary2018
A practical method for prevention of readmission for symptomatic hyponatremia following transsphenoidal surgery.
Article in Pituitary, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.
- Incidence and risk factors of hyponatremia after transsphenoidal surgery: a systematic meta-analysis.Neurosurgical review · 2025Pooled it
- Postoperative fluid restriction to prevent delayed hyponatremia after endoscopic transsphenoidal surgery.Neuro-oncology · 2025Trial
- Construction of risk predictive models for postoperative hyponatremia in colorectal cancer patients.American journal of cancer research · 2026Article
- Postoperative delayed hyponatremia after endoscopic transsphenoidal surgery for pituitary adenomas: role of fluid restriction and associated risk factors.Frontiers in endocrinology · 2026Article
- Isolated syndrome of inappropriate antidiuresis (SIAD) after Transphenoidal surgery of a non-functioning pituitary adenoma: clinical case report.Oxford medical case reports · 2025Article
- Evidence-based management strategies for endocrine complications after pituitary adenoma surgery.Ibrain · 2025Article
- Patient and caregiver perspectives of fluid discharge protocols following pituitary surgery.Journal of clinical & translational endocrinology · 2024Article
- Multidisciplinary Team Care in Pituitary Tumours.Cancers · 2024Review
- Incidence of postoperative hyponatremia after endoscopic endonasal pituitary transposition for skull base pathologies.Pituitary · 2024Article
- Preoperative Serum Copeptin Can Predict Delayed Hyponatremia after Pituitary Surgery in the Absence of Arginine Vasopressin Deficiency.Endocrinology and metabolism (Seoul, Korea) · 2024Observational
- Copeptin and the syndrome of inappropriate antidiuresis (SIAD) after pituitary transsphenoidal surgery.Endocrinology, diabetes & metabolism · 2024Article
- An institutional experience in applying quality improvement measures to pituitary surgery: clinical and resource implications.Neurosurgical focus · 2023Article
- Machine learning models predict delayed hyponatremia post-transsphenoidal surgery using clinically available features.Pituitary · 2023Article
- Endoscopic endonasal pituitary surgery: How we do it. Consensus statement on behalf of the EANS skull base section.Brain & spine · 2023Article
- The Potential of Self-Assessment and Associated Factors for Delayed Symptomatic Hyponatremia Following Transsphenoidal Surgery: A Single Center Experience.Journal of clinical medicine · 2022Article
- Disorders of Salt and Water Balance After Pituitary Surgery.The Journal of clinical endocrinology and metabolism · 2022Article
- Multidisciplinary Postoperative Care Pathway to Reduce Readmissions following Endoscopic Transsphenoidal Pituitary Surgery: Improving Quality of Patient Care.Journal of neurological surgery. Part B, Skull base · 2022Review
- The Cost Effectiveness of Implementation of a Postoperative Endocrinopathy Management Protocol after Resection of Pituitary Adenomas.Journal of neurological surgery. Part B, Skull base · 2022Review
- Article
- 30-Day Readmissions and Coordination of Care Following Endoscopic Transsphenoidal Pituitary Surgery: Experience with 409 Patients.Journal of neurological surgery. Part B, Skull base · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPatients undergoing transsphenoidal pituitary surgery (TSS) are at risk for several serious complications, including the syndrome of inappropriate antidiuretic hormone and subsequent hyponatremia.
objectiveIn this study, we examined the effect of 1 week of post-discharge fluid restriction to 1.0 L daily on rates of post-operative readmission for hyponatremia.
methodsWe retrospectively analyzed all patients undergoing TSS from 2008 to 2014 and prospectively recorded patient data from 2015 to 2017. Patients were divided into a control cohort (2008-2014), who were discharged with instructions to drink to thirst; and an intervention cohort (2015-2017) who were instructed to drink less than 1.0 L daily for 1 week post-operatively.
resultsThis study included 788 patients; 585 (74.2%) in the control cohort and 203 (25.8%) in the intervention cohort. Overall, 436 (55.3%) were women, the median age was 47 (range 15-89), and average BMI was 29.4 kg/m
conclusionHyponatremia can be a life-threatening complication of TSS, and prevention of readmission for hyponatremia can help improve patient safety and decrease costs. Mandatory post-discharge fluid restriction is a simple and inexpensive intervention associated with decreased rates of readmission for hyponatremia and normal post-operative sodium levels.
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