Predictors factors for post-thyroidectomy hypocalcaemia.
Rev Col Bras Cir
; 39(6): 476-82, 2012 Dec.
Article
em En, Pt
| MEDLINE
| ID: mdl-23348643
ABSTRACT
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. Patients were grouped according to the presence or absence of hypocalcemia and evaluated according to age, gender, thyroid function, thyroid volume, number of parathyroid glands identified and need to parathyroid reimplantation, type of operation, operative time, and histopathological diagnosis.RESULTS:
The incidence of temporary hypocalcemia was 40.8% (136 patients), and of definitive hypoparathyroidism 4.2% (14 patients). Reoperation or total thyroidectomy, neck dissection, hyperthyroidism, operative time and age above 50 years were factors related to higher incidence of hypocalcemia and definitive hypoparathyroidism (p <0.05).CONCLUSION:
predictors of postoperative hypocalcemia included age (> 50 years), total thyroidectomy, reoperation, neck dissection and operative time. The predictors of post-thyroidectomy definitive hypoparathyroidism included type of operation, histological diagnosis and hyperthyroidism.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Tireoidectomia
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Hipocalcemia
Tipo de estudo:
Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Female
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Humans
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Male
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Middle aged
Idioma:
En
/
Pt
Revista:
Rev Col Bras Cir
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Brasil