Research Article

Incidence and Factors Associated with Postoperative Delayed Hyponatremia after Transsphenoidal Pituitary Surgery: A Meta-Analysis and Systematic Review

Table 3

Stratified meta-analysis of the incidence of delayed hyponatremia.

Number of studiesQ statisticsI-square (%)Pooled event rate with 95% CI

Type of surgery
eTSS11164.893.90.113 (0.075, 0.168)
mTSS7280.297.70.092 (0.036, 0.218)

Publication year
Before 201110471.398.10.121 (0.056, 0.241)
2011+17269.694.10.097 (0.068, 0.135)

Mean age
<50 years15433.996.80.117 (0.071, 0.185)
50+ years1091.290.10.121 (0.085, 0.168)

Criteria of delayed hyponatremia
Sodium <135 mmol/L22590.496.40.104 (0.070, 0.151)
Others5147.397.30.110 (0.045, 0.244)

eTSS, endoscopic transsphenoidal surgery; mTSS, microscopic transsphenoidal surgery.