Hypocalcemia after Total Thyroidectomy in Graves Disease.

摘要: Context Total thyroidectomy has been shown to provide a cost-effective and efficient method of permanently treating Graves disease; however, hypocalcemia can be common complication. Objective To evaluate the risk after total in patients with vs without disease. Design The 2016 American College Surgeons National Surgical Quality Improvement Program participant use data files for procedure-targeted from 5871 were merged. This study included any patient who underwent thyroidectomy. Main outcome measures Whether symptomatic developed anytime within 30 days A clinically severe hypocalcemic event was also evaluated as secondary measure. Results Of 2143 thyroidectomy, 222 experienced surgery, 124 whom had postoperatively. Among hypocalcemia, 16.3% disease, whereas only 9.4% disease significant hypocalcemia. Multivariable logistic regression analysis revealed that women (odds ratio = 1.79; 95% confidence interval 1.16-2.76; p 0.009) parathyroid autotransplantation 1.91; 1.30-2.81; 0.001) at greater development Older less likely experience postoperatively 0.586; 0.44-0.79; 0.0001). Conclusion Patients are about twice or than