Korean J Endocr Surg.  2014 Sep;14(3):144-149. 10.0000/kjes.2014.14.3.144.

Clinical Characteristics for Early Recovery from Temporary Hypoparathyroidism in Patients Undergoing Total Thyroidectomy

• Oh EM
• Chung YS
• Ryu J
• Lee YD

• KMID: 2144013
• DOI: http://doi.org/10.0000/kjes.2014.14.3.144

Abstract

PURPOSE
Several reports have examined the predictors of temporary hypoparathyroidism after total thyroidectomy; however, few have assessed the clinical predictors of early recovery from the condition. Here, we compared the clinical factors of early and late recovery groups of patients with temporary hypoparathyroidism.
METHODS
The electronic medical records of 248 patients who underwent total thyroidectomy from January 2012 to July 2013 and had parathyroid hormone (PTH) levels <10 pg/mL on the first postoperative day were examined retrospectively. The early recovery group showed recovery from PTH at two weeks postoperatively and the late recovery group showed recovery from PTH at one month postoperatively.
RESULTS
The early recovery group included a lower proportion of males (8.6% vs. 23.7%, P<0.01) and a higher proportion of patients with more than three parathyroid glands saved (83.8% vs. 76.8%, P<0.04). There were no significant differences in the other variables examined.
CONCLUSION
The early recovery group of patients with temporary hypoparathyroidism included a lower proportion of males and a higher proportion of patients with more than three parathyroid glands saved intraoperatively. These findings can be used as clinical indicators when discharge medication is prescribed.

Keyword

Thyroidectomy; Hypoparathyroidism; Recovery

MeSH Terms

Electronic Health Records
Humans
Hypoparathyroidism*
Male
Parathyroid Glands
Parathyroid Hormone
Retrospective Studies
Thyroidectomy*
Parathyroid Hormone