Hypoparathyroidism
Conditions
Keywords
thyroidectomy, hypocalcemia, hypoparathyroidism, discharge, PTH
Brief summary
With increasing economic pressures to shorten the length of hospital stay, there has been much recent interest in studying risk factors for the development of postoperative hypocalcemia. The aim of this study was to investigate in patients undergoing total thyroidectomy whether serum calcium and/or PTH levels can predict hypoparathyroidism.
Detailed description
Our study consists of analyzing the calcium (mmol/l) and PTH (pmol/l) levels on the first postoperative day. Postoperative treatment with calcium and vitamin D and the length of hospital stay is also taken into consideration. We also analyze post-operative complications.
Interventions
analysis of postoperative calcium and PTH levels
Sponsors
Study design
Eligibility
Inclusion criteria
• Total thyroidectomy
Exclusion criteria
* concomitant parathyroidectomy for primary hyperparathyroidism * lobectomy only * completion thyroidectomy * central and lateral neck dissection * patients with calcium and/or vitamin D supplementation prior surgery * patients with known and significant osteoporosis and renal failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| calcium and PTH thresholds | one years | For all 477 patients postoperative calcium and PTH levels and treatment with calcium and vitamin D will be analyzed. Objective is to identify the calcium and PTH thresholds at which the patient after total thyroidectomy can be discharged without risk of hypocalcemia. |
Countries
France