Risk factors for postoperative hypocalcemia after thyroidectomy


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

Chirurgia (Turin), cilt.28, sa.6, ss.217-220, 2015 (Scopus) identifier

  • 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.