SciELO - Scientific Electronic Library Online

 
vol.67 número2CARCINOMA PAPILAR DE TIROIDES EN QUISTE DEL CONDUCTO TIROGLOSOINCIDENCIA DE PATOLOGÍA SALIVAL SINTOMÁTICA ALEJADA EN PACIENTES TRATADOS CON YODO RADIOACTIVO POR CÁNCER DIFERENCIADO DE TIROIDES índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Não possue artigos similaresSimilares em SciELO
  • Em processo de indexaçãoSimilares em Google

Compartilhar


Revista chilena de cirugía

versão On-line ISSN 0718-4026

Resumo

MORDOJOVICH R, Gerardo; LAVIN G, Matías  e  AVALOS J, Nicolás. Parathormone levels measurement as predictor of symptomatic hypocalcemia after total thyroidectomy. Rev Chil Cir [online]. 2015, vol.67, n.2, pp.147-152. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262015000200006.

Introduction: The most frequent complication after total thyroidectomy is hypocalcemia. It is difficult to predict it. The objective of this paper is determinate if measurement of parathormone 6 hours after total thyroidectomy can predict symptomatic hypocalcemia, and determinate associated factors in the development of this complication. Material and Method: Prospective case series. Patients that underwent total thyroidectomy between 2006 and 2008 in our Hospital. We registered epidemiological data, related surgery factors and measurement of parathormone 6 hours after surgery. Hypocalcemia symptoms were registered. We used statistical analysis considering significant p < 0.05. Results: We included 82 patients. Median age was 53.2 years. 79.3% were female. The average of parathormone 6 hours after surgery was 28.7 pg/dL. Sensibility was 100%, specificity 79.4%, positive predictive value 59.4%, negative predictive value 100% and accuracy 84.1% to predict symptomatic hypocalcaemia. A statistical association among levels under the normal base line of parathormone and symptomatic hypocalcemia was detected (p < 0.0001). Relative risk was 4.84. Univariated analysis showed association between hypocalcemia and pre-operative thyroid cancer diagnosis (p = 0.01), cervical dissection (p = 0.03) and level of parathormone (p = 0.002). Multivariated analysis showed that only the level of parathormone associates with hypocalcemia (p = 0.002). conclusion: The measurement of parathormone allows identifying which patients are at risk of presenting symptomatic hypocalcemia after total thyroidectomy.

Palavras-chave : Parathormone; thyroid surgery; hypocalcemia.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )

 

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons