The goal of this study was to look at MRFs and NMRFs in individuals who were on dialysis. The researchers looked at the influence of modifiable and nonmodifiable risk factors on complications in pituitary surgery patients. In patients undergoing pituitary surgery, the presence of both modifiable and nonmodifiable risk variables had a negative impact on outcomes. Identification of preoperative risk factors helps in patient care and selection for pituitary surgery.

The authors found a cohort of 9472 individuals receiving microscopic or endoscopic excision of a PA using the National Readmission Database from 2016 and 2017. The length of stay (LOS), hospital costs, readmission rates, and surgical complications of patients with nonoverlapping MRFs and NMRFs were studied. Predictive algorithms were used to track perioperative outcomes and hospital readmission rates. When compared to nonmalnourished patients, malnourished patients had considerably longer LOSs. At 90 days (p = 0.012) and 180 days, there was a significant positive connection between the number of MRFs and readmission. At the 30-day follow-up, obese individuals had a greater rate of postoperative neurological damage than patients with a normal BMI. Patients with malnutrition, obesity, increased lipid profiles, and frailty are more likely to have a longer hospital stay, greater inpatient costs, and readmission. MRFs and NMRFs both have a deleterious impact on perioperative outcomes after PA resection. Both MRFs and NMMs appear to have a deleterious impact on patient outcomes following pituitary surgery, according to the findings.

Reference Link – https://thejns.org/view/journals/j-neurosurg/134/6/article-p1816.xml