EP.WE.190Post-operative Hypocalcaemia: Analysis of factors influencing and predicting hypocalcaemia post total thyroidectomy
نویسندگان
چکیده
Abstract Aims Hypocalcaemia is a severe complication post total thyroidectomy leading to increased morbidity, length of inpatient stay and associated costs. The cause damage or de-vascularisation the parathyroid glands intra-operatively however this not always easy identify usually inadvertently performed. Prompt identification patients likely become severely hypocalcaemia difficult for clinicians but interest as timely management in these crucial reduce worsening/development symptoms. Methods A retrospective audit 42 who were admitted at district general hospital was Data collected on demographics, indication, post-operative diagnosis pre- post- electrolyte levels calcium supplementation. Results Eight identified with operatively. Age, pre-operative statistical significant predictors hypocalcaemia. Percentage difference between pre immediate predictor subsequent (p < 0.05). Conclusions Reducing patient morbidity importance alike. Commonly are interpreted independently determine need However, using conjunction has lead better prediction suffer from complication. We theorise that prospectively identifying starting treatment early appropriate will improved outcomes.
منابع مشابه
Predictors factors for post-thyroidectomy hypocalcaemia.
OBJECTIVE To evaluate the incidence and predictors of post-thyroidectomy definitive hypocalcemia and hypoparathyroidism. METHODS We assessed ionic calcium preoperatively and postoperatively (first, second and 30th day) in 333 patients undergoing thyroidectomy. In those presenting hypocalcemia, measurements were also made 90 and 180 days after surgery, when parathormone was also dosed. Patient...
متن کاملFactors affecting hypocalcaemia following total thyroidectomy: a prospective study.
OBJECTIVE After thyroidectomy hypocalcaemia is the most significant complication for clinicians. In this study, we investigated the factors associated with development of hypocalcaemia after thyroidectomy. MATERIALS AND METHODS We investigated the patients prospectively for age, gender, preoperative diagnosis, hormonal status, operative time, operating surgeon, existence of parathyroid gland ...
متن کاملHypocalcaemia after total thyroidectomy: incidence, control and treatment.
INTRODUCTION Hypocalcaemia, although usually transitory, is the most frequent complication after total thyroidectomy. OBJECTIVE To identify factors associated with a higher risk of hypoparathyroidism and related to aetiology and surgical procedure. MATERIALS AND METHODS A total of 254 total thyroidectomies were analysed for the incidence of transitory or permanent hypocalcaemia based on the...
متن کاملHypocalcaemia following thyroidectomy unresponsive to oral therapy.
Hypocalcaemia due to hypoparathyroidism following thyroidectomy is a relatively common occurrence. Standard treatment is with oral calcium and vitamin D replacement therapy; lack of response to oral therapy is rare. Herein we describe a case of hypoparathyroidism following thyroidectomy unresponsive to oral therapy in a patient with a complex medical history. We consider the potential causes in...
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2021
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znab308.025