Delayed XXXX Is the Most Common Cause of 30-Day Unplanned Readmission After Transsphenoidal Surgery for @entity977 .

@entity1 @entity6 @entity55 @entity5 @entity1415 @entity1887 @entity1372 @entity4053 @entity5173 @entity977 @entity293 @entity943 @entity2753 @entity3488 @entity2010
BACKGROUND: Unplanned readmission after surgical procedures is an important quality metric. Yet, readmission rates and causes have not been evaluated for @entity1 after transsphenoidal surgery for @entity977 . OBJECTIVE: To analyze unplanned 30-day readmissions at a pituitary center and to encourage the development of effective clinical pathways to prevent readmission. METHODS: A retrospective review of adult @entity1 who underwent transsphenoidal surgery for pituitary lesions at Barrow Neurological Institute (January 2011-March 2014) was performed to identify causes of unplanned readmission within 30 days of surgery. @entity1 demographics, @entity5 details, surgical complications, and endocrine function were documented. RESULTS: Of 303 @entity1 who had transsphenoidal surgery, 27 (8.9%) were readmitted within 30 days. Most of the 27 (15 [55.6%]) had delayed @entity2753 . Other causes were @entity2010 (4 [14.8%]), @entity1887 (2 [7.4%]), and @entity5173 , @entity1415 , @entity943 , @entity55 , @entity293 , and @entity4053 (1 each [3.7%]). Outpatient @entity1372 screening was performed as needed. In cases of @entity2753 , the mean postoperative day of readmission was day 8 (range, 6-12 days) and the mean serum @entity1372 was 119 mmol/L (range, 111-129 mmol/L). Numerous @entity1 and surgical factors were examined, and no specific predictors of readmission were identified. We developed an outpatient care pathway for managing @entity2753 with the goal of improving readmission rates. CONCLUSION: This study establishes a quality benchmark for readmission rates after transsphenoidal surgery for pituitary lesions and identifies delayed @entity2753 as the primary cause. Implementation of an outpatient care pathway for managing @entity2753 may improve readmission rates. ABBREVIATIONS: CMS, Centers for Medicare and Medicaid ServicesDI, @entity6 , syndrome of inappropriate @entity3488 .
