Risk factors for postoperative hypocalcemia after thyroidectomy


ÖZKARDEŞ A. B. , Kahramanca Ş., Özgehan G., Irem B., Küçükpinar T., Kargici H.

Chirurgia (Turin), vol.28, no.6, pp.217-220, 2015 (Refereed Journals of Other Institutions) identifier

  • Publication Type: Article / Abstract
  • Volume: 28 Issue: 6
  • Publication Date: 2015
  • Title of Journal : Chirurgia (Turin)
  • Page Numbers: pp.217-220
  • Keywords: Hypocalcemia, Neoplasms, Predisposing factors, Thyroidectomy

Abstract

Aim. We aimed to determine the prevalence and and risk factors for postoperative hypocalcemia in patients who underwent thyroidectomy. Methods. A total of 271 patients (mean age, 46.21±12.50 years; female/male ratio, 229/42) who underwent thyroidectomy were divided retrospectively into two groups according to whether or not they developed hypocalcemia after thyroidectomy. Results. Of the 271 patients, 74 (27.3%) have developed hypocalcemia after thyroidectomy. The fine-needle aspiration biopsy, preoperative thyroiditis, malignancy, and accompanying neck dissection surgery were more common among patients with postoperative hypocalcemia (P<0.05 for all). In multivariate analysis, thyroiditis was not a significant predictor for postoperative hypocalcemia (P=0.228). The weight of the excised thyroid gland was significantly higher in patients with postoperative hypocalcemia (P=0.005). Conclusion. In conclusion, the patients undergoing thyroidectomy have a high risk of developing postoperative hypocalcemia. The fine-needle aspiration biopsy, malignancy, neck dissection surgery and increased weight of the excised thyroid gland are risk factors for hypocalcemia after thyroidectomy.