Abstract | CONTEXT: OBJECTIVE: We aimed to design a protocol for early prediction of hypocalcemia by defining PTH measurement time and cut-off value of our center. DESIGN: One hundred and six patients undergoing total thyroidectomy between November 2017 and October 2018 were prospectively studied. METHODS: RESULTS: Group 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. CONCLUSION: Postoperative 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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Authors | S Soylu, S Teksoz |
Journal | Acta endocrinologica (Bucharest, Romania : 2005)
(Acta Endocrinol (Buchar))
2020 Apr-Jun
Vol. 16
Issue 2
Pg. 250-255
ISSN: 1841-0987 [Print] Romania |
PMID | 33029245
(Publication Type: Case Reports)
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Copyright | ©by Acta Endocrinologica Foundation. |