Prospective study of clinical and laboratorial hypocalcemia after thyroid surgery

Revista Brasileira de Otorrinolaringologia

Nardi, Carlos Eduardo Molinari¹  Pfuetzenreiter Jr, Elio Gilberto²  Dedivitis, Rogério Aparecido³  Barbara, Emmanuel Casotti Duque de⁴ 

[1] Fundação Lusíada;Hospital Ana Costa, Santos;Hospital Heliópolis, São Paulo;Irmandade da Santa Casa da Misericórdia de Santos

关键词: postoperative complications;    thyroid diseases;    parathyroid glands;    hypocalcemia;    thyroidectomy.;   

DOI  :  10.1590/S1808-86942010000100012

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

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.

【 授权许可】

CC BY