Algorithm for early discharge after total thyroidectomy using PTH to predict hypocalcemia: prospective study

Purpose Hypocalcemia is the most common complication after total thyroidectomy. The aim of this study was to determine whether postoperative parathyroid hormone (PTH) levels predict hypocalcemia in order to design an algorithm for early discharge. Methods We present a prospective study including pat...

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Bibliographic Details
Published in:Langenbeck's archives of surgery 2015-10, Vol.400 (7), p.831-836
Main Authors: Schlottmann, F., Arbulú, A. L. Campos, Sadava, E. E., Mendez, P., Pereyra, L., Fernández Vila, J. M., Mezzadri, N. A.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Algorithms
Cardiac Surgery
Cohort Studies
Female
Follow-Up Studies
General Surgery
Humans
Hypocalcemia - blood
Hypocalcemia - epidemiology
Hypocalcemia - etiology
Incidence
Male
Medicine
Medicine & Public Health
Middle Aged
Monitoring, Physiologic
Original Article
Parathyroid Hormone - blood
Patient Discharge
Postoperative Period
Predictive Value of Tests
Prospective Studies
Risk Assessment
Sensitivity and Specificity
Thoracic Surgery
Thyroidectomy - adverse effects
Thyroidectomy - methods
Time Factors
Traumatic Surgery
Treatment Outcome
Vascular Surgery
Young Adult
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Summary:Purpose Hypocalcemia is the most common complication after total thyroidectomy. The aim of this study was to determine whether postoperative parathyroid hormone (PTH) levels predict hypocalcemia in order to design an algorithm for early discharge. Methods We present a prospective study including patients who underwent total thyroidectomy. Hypocalcemia was defined as serum ionized calcium 
ISSN:1435-2443
1435-2451
DOI:10.1007/s00423-015-1341-8