Pituitary & hypothalamus

Pituitary apoplexy score, toward standardized decision-making: a descriptive study

PituitaryPublished Retrospective descriptive study

Authors' conclusion

Our study supports PAS as a valuable PA management tool, suggesting potential variable adjustments.

Study context

Population
Patients with pituitary apoplexy (PA), 2003–2022
Exposure
Surgical vs non-surgical management of pituitary apoplexy
Outcome
PAS in surgical vs non-surgical groups, to establish a threshold for surgical decisions

Main finding

As reported in the abstract

Pituitary Apoplexy Score (PAS)

Conservative

1.7

average · ± 1.7

Surgical

3.9

average · ± 1.7

P < 0.0001

Observational data: associations, not effects.

Further findings

Corticotropic deficiency prevalence with low prolactin (< 5 ng/ml) · 3-month and 1-year follow-ups

Higher corticotropic deficiency prevalence with low prolactin at 3 months
P = 0.017
Higher corticotropic deficiency prevalence with low prolactin at 1 year
0.027

Original publication

Pituitary apoplexy score, toward standardized decision-making: a descriptive study. Pituitary. Published 27 December 2023. doi:10.1007/s11102-023-01372-x

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