ArticleActa endocrinologica (Bucharest, Romania : 2005)
EARLIER PREDICTION OF HYPOCALCEMIA BY POSTOPERATIVE SECOND HOUR PARATHYROID HORMONE LEVEL AFTER TOTAL THYROIDECTOMY.
Article in Acta endocrinologica (Bucharest, Romania : 2005). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 4 citations in OpenAlex.
- Early Postoperative PTH Determination as Predictor for Post-Thyroidectomy Hypocalcemia.International archives of otorhinolaryngology · 2026Article
- PTH after Thyroidectomy as a Predictor of Post-Operative Hypocalcemia.Diagnostics (Basel, Switzerland) · 2021Article
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2 authors at 1 institution in 1 country.
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Abstract
contextThyroidectomy is becoming an ambulatory surgical procedure. By predicting hypocalcemia,duration of hospital stay might decline. We tried to determine whether measuring parathormone two hours after total thyroidectomy predicts hypocalcemia.
objectiveWe aimed to design a protocol for early prediction of hypocalcemia by defining PTH measurement time and cut-off value of our center.
designOne hundred and six patients undergoing total thyroidectomy between November 2017 and October 2018 were prospectively studied.
methodsPregnant women, patients with renal failure, parathyroid disease, previous neck operation and thyroid malignancy requiring neck dissection were excluded from the study. Parathormone (PTH) and calcium measurement was done preoperatively and in the postoperative second hour.
resultsGroup 1 consisted of 75 normocalcemic patients while group 2 had 31 hypocalcemic patients. Mean age was 45±13.1 (age range: 18-76). Female/male ratio was 82/24. While with a 8.36 pg/mL postoperative second hour PTH, hypocalcemia can be predicted with a 51.5% sensitivity and 90.7% specificity while with a PTH decline of 40.8% hypocalcemia can be diagnosed with a 83.9% sensitivity and 52% specificity.
conclusionPostoperative second hour PTH and PTH percentage decline can predict postoperative hypocalcemia in total thyroidectomies. Preoperative Dual-energy X-ray absorptiometry (DXA) was not found useful in hypocalcemia prediction.
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