Hypocalcemia hypoparathyroidism low calcium bloodlevel
Conditions
Interventions
New treatment algorithm
Sponsors
Maasstadziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Indication for total thyroidectomy or completion thyroidectomy 2. Patient age 18 years or older at the time of inclusion
Exclusion criteria
Exclusion criteria: 1. Pre-operative abnormal adjusted serum calcium level (reference range 2.20 -2.55 mmol/L) 2. Hyperparathyroidism 3. Planned parathyroidectomy 4. History of epileptic seizures 5. Pregnancy 6. Non dutch speaking 7. Not able to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study endpoint is the difference in the percentage of patients treated with calcium (and active vitamin D3-metabolite) supplements before and after implementation of the new algorithm. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Number of readmissions for intravenous calcium supplementation 2. Number of calcium related contacts with the outpatient department 3. The incidence of hypocalcemia: both transient and permanent 4. Risk factors for hypocalcemia (patient or surgery related) 5. Incidence of hypocalcemic symptoms emerging after discharge 6. Complications related to hypocalcemia 7. Duration of admission 8. Number of patients requiring intravenous calcium supplementation 9. Relation between EKG abnormalities and hypocalcemia | — |
Countries
Netherlands
Outcome results
None listed