Transsphenoidal surgery and diabetes mellitus: An analysis of inpatient data and complications

Abstract

2C.

Impact of Diabetes Mellitus on Head and Neck Cancer Patients Undergoing Surgery

“…The increased risk for cardiac complications in diabetics is consistent with a previous study in patients undergoing transsphenoidal pituitary surgery for benign pituitary neoplams. 7 There was no increased risk for mortality within the duration of admission in patients with DM in our study. This is consistent with previous findings in patients undergoing cardiovascular surgical procedures.…”

Facial fracture repair and diabetes mellitus: An examination of postoperative complications

“…In an analysis of NIS discharge data for patients undergoing head‐and‐neck cancer surgery, diabetics had significantly greater rates of a variety of postoperative problems, including infections, similar to the increased rates of UTIs noted in this cohort. Evaluating whether DM impacted the postoperative course of transsphenoidal patients, DM patients were found not to have an increased rate of cerebrospinal fluid leaks, although differences were noted among specific groups …”

“…This nationally representative resource encompasses more than 7 million annual inpatient hospitalizations, representing approximately 20% of discharges in the United States . This resource is representative of a significant portion of U.S. inpatient facilities (rehabilitation facilities, federal institutions, and long‐term acute care facilities are excluded), and has been used in numerous studies covering a wide range of topics …”

“…Of course, our understanding of the physiology associated with diabetes mellitus (DM) has evolved considerably over the past century, and myriad analyses have demonstrated increased morbidity and mortality associated with perioperative hyperglycemia in diabetic patients . One particular concern relates to impaired wound healing associated with hyperglycemia as well as higher rates of infections.…”

Prediction of Readmission and Complications After Pituitary Adenoma Resection via the National Surgical Quality Improvement Program (NSQIP) Database

“…Several studies have aimed to use available national databases to evaluate risk in pituitary surgery, namely the National Inpatient Sample [1,[18][19][20][21][22][23][24][25] and NSQIP [16,21,22,[26][27][28]. Lawrence et al [27] evaluated 658 patients that underwent transnasal microscopic pituitary surgery between 2006 and 2012 by using the NSQIP database.…”