Hypocalcemia after Total Thyroidectomy in Sylhet Women Medical College, Bangladesh

Résumé

Objective: To determine the risk of hypocalcemia in individuals who have had a full thyroidectomy. The objective was to look for signs of hypocalcemia within 30 days following the thyroidectomy. As an additional outcome measure, a clinically severe hypocalcemic episode was assessed. Method: The Sylhet Women's Medical College specialists pooled information from 300 patients for a system labeled thyroidectomy. Any person who had a full thyroidectomy was subjected to this evaluation. Total 60 patients who underwent a complete thyroidectomy was selected for this study. Result: Among 60 patients who underwent a complete thyroidectomy, 10.4% developed hypocalcemia as a result of the medical treatment, having suggestive hypocalcemia postoperatively. Graves' disease was present in 16.3 percent of hypocalcemia patients, whereas only 9.4 percent of those without Graves' disease had severe hypocalcemia. Patients who had parathyroid auto transplantation (chances proportion = 1.91; 95 percent certainty stretch = 1.30-2.81; p = 0.001) and females (chances proportion = 1.79; 95 percent certainty stretch = 1.16-2.76; p = 0.009) were at higher risk of hypocalcemia improvement. Postoperative hypocalcemia was less likely in more experienced patients (chances percentage = 0.586; 95 percent confidence stretch = 0.44-0.79; p = 0.0001). Conclusion: Patients with Graves disease are about twice as likely as those without the illness to have hypocalcemia or clinically significant hypocalcemia following surgery.