The study aimed to develop a tool to predict the probability of hypocalcemia after total thyroidectomy (TT) by evaluating the percentage decrease in serum parathyroid hormone (PTH) levels in the first 8 hours postoperatively. They prospectively evaluated 97 TT patients, determining the predictors of hypocalcemia requiring calcium supplementation. The results showed that the percentage decrease in PTH levels at 1 hour and 8 hours postoperatively, as well as postoperative magnesium (Mg2PO) levels, were isolated predictors of hypocalcemia. Two tools were developed to predict this complication, with one specifically predicting more severe hypocalcemia.
Journal Article by Soares CSP, Koga KH (…) da Silva Mazeto GMF et 5 al. in Langenbecks Arch Surg
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