The impact of age and oral calcium and vitamin D supplements on postoperative hypocalcemia after total thyroidectomy. A prospective study

نویسندگان

  • Salvatore Tolone
  • Ruggiero Roberto
  • Gianmattia del Genio
  • Luigi Brusciano
  • Domenico Parmeggiani
  • Vincenzo Amoroso
  • Giuseppina Casalino
  • Ignazio Verde
  • Alfonso Bosco
  • Antonio D'Alessandro
  • Raffaele Pirozzi
  • Gianluca Rossetti
  • Paolo Limongelli
  • Ludovico Docimo
چکیده

BACKGROUND Hypocalcemia caused by transient or definitive hypoparathyroidism is the most frequent complication after total thyroidectomy (TT). We aimed to compare the impact of age and the clinical usefulness of oral calcium and vitamin D supplements on postoperative hypocalcemia after TT, and to determine which risk factors are important for hypocalcemia incidence. METHODS Two hundred consecutive patients treated by TT were included prospectively in the present study. All patients supplemented oral calcium and vitamin D in the post-operative time. The data concerning symptomatic and laboratoristichypocalcemia were collected. RESULTS Symptomatic hypocalcemia developed only in 19 patients (9.5%), whereas laboratory hypocalcemia developed in 36 patients (18%). The risk for postoperative hypocalcemia was increate 20-fold for patients older than 50 years. CONCLUSIONS Age is significantly associated with postoperative hypocalcemia. Implementing oral calcium and vitamin D after total thyroidectomy can reduce the incidence of hypocalcemia related to surgery.

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عنوان ژورنال:

دوره 13  شماره 

صفحات  -

تاریخ انتشار 2013