Risk factors for postoperative hypocalcemia after thyroidectomy
Chirurgia (Turin), cilt.28, sa.6, ss.217-220, 2015 (Scopus)
- Yayın Türü: Makale / Özet
- Cilt numarası: 28 Sayı: 6
- Basım Tarihi: 2015
- Dergi Adı: Chirurgia (Turin)
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.217-220
- Anahtar Kelimeler: Hypocalcemia, Neoplasms, Predisposing factors, Thyroidectomy
- Lokman Hekim Üniversitesi Adresli: Hayır
Özet
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.