Prospective study of clinical and laboratorial hypocalcemia after thyroid surgery.
نویسندگان
چکیده
UNLABELLED Hypocalcemia can be detected clinically and through lab tests after thyroidectomy. AIM To analyze the incidence and risk factors of clinical and laboratorial hypocalcemia after thyroid surgery. METHODS Prospective study of 91 patients undergoing thyroidectomy. Demographics, intraoperative, and pathological aspects were correlated to our hypocalcemia findings. RESULTS Age higher than 50 (p = 0.022) and complete thyroidectomy (p < 0.001) were considered risk factors for hypoparathyroidism. Complete thyroidectomy was considered a risk factor for the 48-hour laboratorial hypoparathyroidism (p = 0.004). There was no risk factor associated with the one-month laboratorial hypoparathyroidism. There was significance between the 48-hour and the one-month laboratorial hypoparathyroidism. CONCLUSIONS Thyroidectomy extension is a risk factor for both the clinical and laboratorial hypoparathyroidism, whereas age is a risk factor for clinical hypoparathyroidism. The detection of 48-hour laboratorial hypoparathyroidism is a predisposing factor for the one-month laboratorial hypoparathyroidism. However, most of the cases were temporary.
منابع مشابه
Influence of thyroidectomy on postoperative serum calcium level regarding serum vitamin D status. A prospective study
Background: Hypocalcemia is a well-recognized complication after total thyroidectomy. Hypovitaminosis D may have additional effect in the development of hypocalcemia. This study aimed to determine the effect of total thyroidectomy on postoperative serum calcium in patients with and without hypovitaminosis D. Methods: This prospective study was performed on patients who underwent total...
متن کامل[Incidence of hypocalcemia after total thyroidectomy].
BACKGROUND Postoperative hypocalcemia is one of the most common complications of thyroid surgery. It is related to the type of disease (malignant or benign), the number of identified parathyroid glands during the surgical procedure, and the surgeon's experience. Total thyroidectomy is the procedure of choice in our hospital for benign and malignant thyroid disease, but it can increase the incid...
متن کاملProspective study of perioperative factors predicting hypocalcemia after thyroid and parathyroid surgery.
OBJECTIVE To identify whether perioperative 1,25-dihydroxyvitamin D or parathyroid hormone (PTH) levels will predict the development of hypocalcemia after thyroid and parathyroid surgery. DESIGN Prospective study. SETTING University hospital. PATIENTS The study included 103 patients who underwent thyroid or parathyroid surgery between 2002 and 2004, with a comparison of the patients who u...
متن کاملIs Decline Rate of Intact Parathyroid Hormone Level a Reliable Criterion for Early Discharge of Patients after Total Thyroidectomy?
Introduction: Parathyroid dysfunction leading to symptomatic hypocalcemia is not uncommon following a total thyroidectomy and is often associated with significant patient morbidity and a prolonged hospital stay. The current study aimed at evaluating the comparative predictive role of serum calcium and intact parathyroid hormone (iPTH) for post-thyroidectomy hypocalcemia. Materials and Methods...
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ورودعنوان ژورنال:
- Brazilian journal of otorhinolaryngology
دوره 76 1 شماره
صفحات -
تاریخ انتشار 2010