Complications and death among elderly patients undergoing pituitary tumour surgery

Rachel Grossman, Debraj Mukherjee, Kaisorn L. Chaichana, Roberto Salvatori, Gary Wand, Henry Brem, David C. Chang, Alfredo Quinones-Hinojosa

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25 Scopus citations

Abstract

Background Preoperative determinants of surgical risk in elderly patients with pituitary tumour are not fully defined. The aim of this study was to quantify operative risk for these patients. Design and methods We performed a retrospective analysis of the Nationwide Inpatient Sample (1998-2005), a database containing discharge information from a stratified, random sample of 20% of all non-federal hospitals in 37 states. Patients >65 years old who underwent pituitary tumour resection were identified by ICD-9 coding. Primary outcome was inpatient death. Other outcomes included post-operative complications, length of stay (LOS) and total charges. Results A total of 8400 patients (53·7% male) were identified. Mean age was 72·2. Mean co-morbidity score was 5·3. A majority were white (82·0%) admitted to academic hospitals (69·5%) for elective procedures (55·7%). Inpatient mortality was 3·8%. The most common complication was fluid and electrolyte abnormalities (14·3%). Mean LOS was 8·5 days. In multivariate analysis, patients >80 years old had 30% greater odds of death, relative to 65-69 year old counterparts. Each complication increased LOS by an average of at least 4 days. These associations were statistically significant (P-values <0·05). Conclusions New clinically relevant risk stratification information is now available to assist clinicians in operative decision-making for elderly patients with pituitary tumour considering operative intervention.

Original languageEnglish (US)
Pages (from-to)361-368
Number of pages8
JournalClinical Endocrinology
Volume73
Issue number3
DOIs
StatePublished - Sep 2010
Externally publishedYes

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ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

Cite this

Grossman, R., Mukherjee, D., Chaichana, K. L., Salvatori, R., Wand, G., Brem, H., Chang, D. C., & Quinones-Hinojosa, A. (2010). Complications and death among elderly patients undergoing pituitary tumour surgery. Clinical Endocrinology, 73(3), 361-368. https://doi.org/10.1111/j.1365-2265.2010.03813.x