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22 results for “Transsphenoidal surgery”
Association between preoperative medication lists and postoperative hospital length of stay after endoscopic transsphenoidal pituitary surgery
<p><strong><span>Background</span></strong><span>:</span> <span>Endoscopic transsphenoidal surgery is the most common technique for resection of pituitary adenoma. Data on factors associated with extended hospital stay after this surgery are limited. We aimed to characterize the relationship between preoperative medications and the risk of prolonged postoperative length of stay after this procedure.</span></p> <p><strong><span>Methods</span></strong><span>:</span> <span>This single-center, retrospective cohort study included all adult patients scheduled for transsphenoidal pituitary surgery from July 1</span><span>st,</span><span> 2016 to December 31</span><span>st</span><span>, 2019.</span> <span>Anatomical Therapeutic Chemical</span><span> codes were used to identify patients' preoperative medications. The primary outcome was prolonged postoperative hospital length of stay. Secondary outcomes included unplanned admission to the Intensive Care Unit, in-hospital and one-year mortality. We developed a descriptive logistic model that included preoperative medications, obesity, and age.</span></p> <p><strong><span>Results</span></strong><span>:</span> <span>Median postoperative length of stay was 3 days for the 7</span><span>04 </span><span>analyzed patients. A prolonged length of stay was</span> <span>defined as > 4 days. Patients taking ATC-H drugs were at increased risk of prolonged length of stay (OR 1.56, 95% CI 1.26-1.95, p<0.001). No association was found between preoperative ATC-H medication and unplanned ICU admission or in-hospital mortality. Patients with multiple preoperative ATC-H medications had significantly higher mean LOS (5.4 ± 7.6 days) and one-year mortality (p<0.02).</span></p> <p><strong><span>Conclusions</span></strong><span>: Clinicians should be aware of the possible vulnerability of patients taking systemic hormones preoperatively. Future studies should test this medication-based approach on endoscopic transsphenoidal pituitary surgery populations from different hospitals and countries.</span></p>
Association between preoperative medication lists and postoperative hospital length of stay after endoscopic transsphenoidal pituitary surgery
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Postoperative Cognitive Dysfunction in Transsphenoidal Pituitary Surgeries
ClinicalTrials.gov study NCT06793150. IPD Sharing: NO. Countries: 1. Publications: 3.
Comparison of Postoperative Recovery of Sevoflurane and Propofol After Transsphenoidal Surgery
ClinicalTrials.gov study NCT05822817. IPD Sharing: NO. Countries: 1. Publications: 4.
Pain Management After Transnasal Transsphenoidal Surgery for Pituitary Adenomas
ClinicalTrials.gov study NCT04611685. IPD Sharing: NO. Countries: 1. Publications: 5.
Mode of Ventilation and Bleeding During Transsphenoidal Surgery
ClinicalTrials.gov study NCT01891838. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Effects of Total Intravenous Anesthesia With Propofol-remifentanil Versus Inhalational Anesthesia With Sevoflurane on Quality of Recovery in Patients Undergoing Transsphenoidal Surgery for Pituitary T
ClinicalTrials.gov study NCT02813044. IPD Sharing: NO. Countries: 1. Publications: 1.
Nasal Resonance Change After Endoscopic Endonasal Transsphenoidal Skull Base Surgery: Analysis of Quality of Voice
ClinicalTrials.gov study NCT02828514. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Post-Operative Water Load Following Transsphenoidal Pituitary Surgery
ClinicalTrials.gov study NCT02727686. IPD Sharing: NO. Countries: 1. Publications: 9.
Effect of Dexmedetomidine on Plasmatic Cortisol Response in Transsphenoidal Surgery
ClinicalTrials.gov study NCT02549768. IPD Sharing: UNDECIDED. Countries: 1. Publications: 9.
Chitosan Scaffold for Sellar Floor Repair in Endoscopic Endonasal Transsphenoidal Surgery
ClinicalTrials.gov study NCT03280849. IPD Sharing: NO. Countries: 1. Publications: 24.
Bed Rest on the Effect of CSF Leakage Repair After Transsphenoidal Pituitary Surgery
ClinicalTrials.gov study NCT05682391. IPD Sharing: NO. Countries: 1. Publications: 0.
Effects on the Awakening With Laryngeal Mask vs Endotracheal Tube in Endoscopic Endonasal Transsphenoidal Base Surgery
ClinicalTrials.gov study NCT02988804. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
Impact of Nasoseptal Flap Harvest Technique on Olfaction Following Endoscopic Transsphenoidal Pituitary Surgery
ClinicalTrials.gov study NCT03773705. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Comparison of Propofol Requirement Between Patients With Pituitary Somatotroph Tumor and With Nonfunctioning Pituitary Tumor in Transsphenoidal Pituitary Surgery Under Total Intravenous Anesthesia
ClinicalTrials.gov study NCT03465423. IPD Sharing: NO. Countries: 1. Publications: 0.
Comparison of Opioid Based and Opioid Free Anaesthesia in Transsphenoidal Surgery
ClinicalTrials.gov study NCT03120234. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
Intraoperative Ultrasound in Patients Undergoing Transsphenoidal Surgery for Pituitary Adenoma
ClinicalTrials.gov study NCT03284775. IPD Sharing: NO. Countries: 1. Publications: 0.
Prophylactic Oral Antibiotics on Sinonasal Outcomes Following Endoscopic Transsphenoidal Surgery for Pituitary Lesions
ClinicalTrials.gov study NCT03014687. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
Nasoseptal Double Flap Versus Rescue Flap in Endoscopic Transsphenoidal Pituitary Surgery
ClinicalTrials.gov study NCT06526481. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Effect of Dexmedetomidine on Quality of Recovery in Non-functioning Pituitary Adenoma Patients Undergoing Endoscopic Transsphenoidal Surgery
ClinicalTrials.gov study NCT05005715. IPD Sharing: NO. Countries: 1. Publications: 0.
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