Conference Coverage

Empiric fluid restriction cuts transsphenoidal surgery readmissions


Key clinical point: A simple fluid restriction protocol cuts readmissions 70% following transsphenoidal surgery.

Major finding: The readmission rate among the transsphenoidal surgery patients was 7.6% before the fluid restriction protocol was implemented, compared with 2.4% (P = .044) afterward.

Study details: Review of 287 transsphenoidal surgery patients.

Disclosures: The National Institutes of Health supported the work. The investigators did not have any disclosures.

Source: Deaver KE et al. Abstract SUN-572



Fluid restriction isn’t easy for patients. “The last day before discharge, we try to coach them through it,” with tips about sucking on ice chips and other strategies; “anything really to help them through it,” Dr. Deaver said.

Readmitted patients were no different from others in terms of pituitary tumor subtype, tumor size, gender, and other factors. “We couldn’t find any predictors,” she said. There were a higher percentage of macroadenomas in the preimplementation patients (91.5% versus 81.7%), but they were otherwise similar to postimplementation patients.

Those with evidence of diabetes insipidus at discharge were excluded from the study.

The National Institutes of Health funded the study. The investigators did not have any disclosures.

SOURCE: Deaver KE et al. Endocrine Society 2018 annual meeting abstract SUN-572.

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