What are critical outcome measures for patients receiving pituitary replacement following brain injury?

Pituitary

Department of Internal Medicine, Endocrinology Division, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-1188, USA.

Published: March 2012

AI Article Synopsis

  • There are limited studies on the effectiveness of hormone replacement therapy for critical outcomes in patients with hypopituitarism due to brain injury.
  • A review of cognitive and physical function tests is included, promoting their use for patients receiving anterior pituitary hormone replacement.
  • Preliminary findings suggest that hormone replacement may lead to improvements in cognition and physical function in subjects with brain injury and growth hormone deficiency.

Article Abstract

There are scant prospective studies defining improvements in critical outcome measures with hormone replacement in hypopituitarism secondary to brain injury. We review the tests of cognition and physical function and summarize their use for subjects that are deficient in anterior hormone production during anterior pituitary hormone replacement in brain injury and propose these as the minimal tests that are feasible for a physician to perform in a clinical setting. We summarize the studies conducted to assess outcome measures after brain injury and also report preliminary findings for improvements in cognition and physical function in subjects with brain injury and GH deficiency.

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Source
http://dx.doi.org/10.1007/s11102-008-0133-3DOI Listing

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