Can the risk of hypocalcemia be detected with intact parathyroid hormone level after total thyroidectomy?

Adil Haciboncuk; Alper Aytekin; Latif Yılmaz; Nurullah Bilen; Aziz Bulut

Makale detayları

Can the risk of hypocalcemia be detected with intact parathyroid hormone level after total thyroidectomy?

Yazarlar:

Adil Haciboncuk | Alper Aytekin | Latif Yılmaz | Nurullah Bilen | Aziz Bulut

Yayıncı:

Hatay Mustafa Kemal University

Ana Başlıklar:

Clinical Sciences (Other)

Dergi:

Interdisciplinary Medical Journal Vol.14 Issue 50, pp.197-203

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001308479

pISSN:

2980-1915

Anahtar kelimeler:

Özet:

 Objective: Nowadays, thyroidectomy is performed in patients with various indications. However, transient or permanent hypocalcemia occurs after surgery. In this case, the duration of hospitalization of the patients is prolonged. In this study, we aimed to detect hypocalcemia in the early phase with intact parathyroid hormone iPTH, a biochemical marker. Method: Hospital records of patients who had undergone standard bilateral total thyroidectomy for thyroid disease were retrospectively analyzed between September 2018 and April 2019 at the Department of General Surgery, Gaziantep University. Results: Of the 114 patients included in the study, 91 were female 79.8, and 23 were male 23. Calcium levels of 8.5 mgdL were found in 49 of 114 patients. Clinical symptoms of hypocalcemia were observed in 19 of these 49 patients. There was a significant correlation between the patients iPTH levels at 3-6 hours postoperatively and the calcium values at 24 hours postoperatively p0.05. In addition, a significant, positive and weak correlation was found between the iPTH level and the iPTH level at 24 hours postoperatively and the Ca level at 24 hours postoperatively p0.05. The iPTH level measured between 3 and 6 hours postoperatively can predict hypocalcemia with a sensitivity of 77.5 and a specificity of 40.3. Conclusion: Postoperative hypocalcemia can be predicted with iPTH in the early period. The serum iPTH value has been concluded to be an effective parameter that can be used to predict postoperative hypocalcemia.

 Objective: Nowadays, thyroidectomy is performed in patients with various indications. However, transient or permanent hypocalcemia occurs after surgery. In this case, the duration of hospitalization of the patients is prolonged. In this study, we aimed to detect hypocalcemia in the early phase with intact parathyroid hormone iPTH, a biochemical marker. Method: Hospital records of patients who had undergone standard bilateral total thyroidectomy for thyroid disease were retrospectively analyzed between September 2018 and April 2019 at the Department of General Surgery, Gaziantep University. Results: Of the 114 patients included in the study, 91 were female 79.8, and 23 were male 23. Calcium levels of 8.5 mgdL were found in 49 of 114 patients. Clinical symptoms of hypocalcemia were observed in 19 of these 49 patients. There was a significant correlation between the patients iPTH levels at 3-6 hours postoperatively and the calcium values at 24 hours postoperatively p0.05. In addition, a significant, positive and weak correlation was found between the iPTH level and the iPTH level at 24 hours postoperatively and the Ca level at 24 hours postoperatively p0.05. The iPTH level measured between 3 and 6 hours postoperatively can predict hypocalcemia with a sensitivity of 77.5 and a specificity of 40.3. Conclusion: Postoperative hypocalcemia can be predicted with iPTH in the early period. The serum iPTH value has been concluded to be an effective parameter that can be used to predict postoperative hypocalcemia.

 Objective: Nowadays, thyroidectomy is performed in patients with various indications. However, transient or permanent hypocalcemia occurs after surgery. In this case, the duration of hospitalization of the patients is prolonged. In this study, we aimed to detect hypocalcemia in the early phase with intact parathyroid hormone iPTH, a biochemical marker. Method: Hospital records of patients who had undergone standard bilateral total thyroidectomy for thyroid disease were retrospectively analyzed between September 2018 and April 2019 at the Department of General Surgery, Gaziantep University. Results: Of the 114 patients included in the study, 91 were female 79.8, and 23 were male 23. Calcium levels of 8.5 mgdL were found in 49 of 114 patients. Clinical symptoms of hypocalcemia were observed in 19 of these 49 patients. There was a significant correlation between the patients iPTH levels at 3-6 hours postoperatively and the calcium values at 24 hours postoperatively p0.05. In addition, a significant, positive and weak correlation was found between the iPTH level and the iPTH level at 24 hours postoperatively and the Ca level at 24 hours postoperatively p0.05. The iPTH level measured between 3 and 6 hours postoperatively can predict hypocalcemia with a sensitivity of 77.5 and a specificity of 40.3. Conclusion: Postoperative hypocalcemia can be predicted with iPTH in the early period. The serum iPTH value has been concluded to be an effective parameter that can be used to predict postoperative hypocalcemia.

 Objective: Nowadays, thyroidectomy is performed in patients with various indications. However, transient or permanent hypocalcemia occurs after surgery. In this case, the duration of hospitalization of the patients is prolonged. In this study, we aimed to detect hypocalcemia in the early phase with intact parathyroid hormone iPTH, a biochemical marker. Method: Hospital records of patients who had undergone standard bilateral total thyroidectomy for thyroid disease were retrospectively analyzed between September 2018 and April 2019 at the Department of General Surgery, Gaziantep University. Results: Of the 114 patients included in the study, 91 were female 79.8, and 23 were male 23. Calcium levels of 8.5 mgdL were found in 49 of 114 patients. Clinical symptoms of hypocalcemia were observed in 19 of these 49 patients. There was a significant correlation between the patients iPTH levels at 3-6 hours postoperatively and the calcium values at 24 hours postoperatively p0.05. In addition, a significant, positive and weak correlation was found between the iPTH level and the iPTH level at 24 hours postoperatively and the Ca level at 24 hours postoperatively p0.05. The iPTH level measured between 3 and 6 hours postoperatively can predict hypocalcemia with a sensitivity of 77.5 and a specificity of 40.3. Conclusion: Postoperative hypocalcemia can be predicted with iPTH in the early period. The serum iPTH value has been concluded to be an effective parameter that can be used to predict postoperative hypocalcemia.

Makale detayları

Can the risk of hypocalcemia be detected with intact parathyroid hormone level after total thyroidectomy?

Yazarlar:

Adil Haciboncuk | Alper Aytekin | Latif Yılmaz | Nurullah Bilen | Aziz Bulut

Yayıncı:

Hatay Mustafa Kemal University

Ana Başlıklar:

Clinical Sciences (Other)

Dergi:

Interdisciplinary Medical Journal Vol.14 Issue 50, pp.197-203

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001308479

pISSN:

2980-1915

Intact Parathyroid Hormone

Hypocalcemia

Thyroidectomy

Sayı

Makale detayları

Can the risk of hypocalcemia be detected with intact parathyroid hormone level after total thyroidectomy?

Yazarlar: Adil Haciboncuk | Alper Aytekin | Latif Yılmaz | Nurullah Bilen | Aziz Bulut

Yayıncı: Hatay Mustafa Kemal University

Ana Başlıklar: Clinical Sciences (Other)

Dergi: Interdisciplinary Medical Journal Vol.14 Issue 50, pp.197-203

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001308479

pISSN: 2980-1915

Intact Parathyroid Hormone

Hypocalcemia

Thyroidectomy

Sayı

Yazarlar:

Adil Haciboncuk | Alper Aytekin | Latif Yılmaz | Nurullah Bilen | Aziz Bulut

Yayıncı:

Hatay Mustafa Kemal University

Ana Başlıklar:

Clinical Sciences (Other)

Dergi:

Interdisciplinary Medical Journal Vol.14 Issue 50, pp.197-203

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001308479

pISSN:

2980-1915