Thyroid surgery and postoperative hospital stay

Aggeli, C.; Zografos, Georgios; Katseli, Anastasia; Tsipras, I.

doi:10.1007/s13126-015-0194-5

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…Hypocalcemia after thyroidectomy is the most common metabolic complication that prolongs the hospital stay. 1 In order to avoid prolonged hospital stay and allow a safe early discharge, fast parathyroid hormone (PTH) assay is used as early as 10 minutes after surgery completion with or without serum calcium measurement to predict early postoperative hypocalcemia. 1 However, the fast PTH assay is not available in the majority of the hospitals in low resource countries.…”

Section: Introductionmentioning

confidence: 99%

“…1 In order to avoid prolonged hospital stay and allow a safe early discharge, fast parathyroid hormone (PTH) assay is used as early as 10 minutes after surgery completion with or without serum calcium measurement to predict early postoperative hypocalcemia. 1 However, the fast PTH assay is not available in the majority of the hospitals in low resource countries. Measurement of serum calcium in the morning after the surgery is considered a fast and low-cost method to assess parathyroid function in the early post-operative period.…”

Section: Introductionmentioning

confidence: 99%

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Timing of hypocalcemia after total or near total thyroidectomy: a prospective observational study

et al. 2020

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Background: Hypocalcemia after thyroidectomy is the most common metabolic complication that prolongs the hospital stay. The aim of this study was to determine timing of hypocalcemia postoperatively and determine the safest day to discharge post-total or near-total thyroidectomy patients based on serum calcium level.Methods: From October 2012 to January 2017, the medical records of 117 consecutive patients who underwent a total or near-total, completion or redo thyroidectomy for benign and malignant thyroid diseases in two university hospitals were prospectively analyzed. The serum calcium was measured preoperatively, on the morning on the first, second, third and fourth postoperative days and the postoperative day on which hypocalcemia developed was identified.Results: Of the 117 patients who underwent a total or near thyroidectomy, 36 (30.7%) developed hypocalcemia, which was transient in 34 (29%) and permanent in two (1.7%) patients. The postoperative hypocalcemia was mild in 10 (8.5%) patients, and 26 (22.2%) patients developed significant postoperative hypocalcemia. Of the 36 patients who developed hypocalcemia postoperatively, the peak incidence of hypocalcemia (72.2%) was on the first postoperative day, and by the third day serum calcium measurement detected 97.3% of patients who developed hypocalcemia.Conclusions: Postoperative serial serum calcium levels may be useful for identifying patients suitable for early discharge following total/near total thyroid surgery in hospitals that lack the facilities. Hypocalcemia peaked on the first postoperative day. However, based on serum calcium levels alone, the third postoperative day is the crucial day for deciding whether to discharge the patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Timing of hypocalcemia after total or near total thyroidectomy: a prospective observational study

et al. 2020

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A risk factor analysis of length of hospital stay in thyroid surgeries: An experience from a tertiary care hospital of Eastern India

Srivastava,

Mohapatra,

Mishra

et al. 2024

Journal of Integrative Medicine and Research

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Background: Thyroid surgeries are one of the common surgical procedures worldwide, carried out by a range of board-certified physicians with backgrounds in general surgery, endocrine surgery, otolaryngology, thoracic surgery, head and neck surgery, and oncology. The length of hospital stay in these surgeries has not been extensively studied. The purpose of the study was to find out the factors determining the length of hospital stay in thyroid surgeries. Materials and Methods: One hundred and seven adult patients operated between January and December of 2021 were included in the study. Data were collected retrospectively from medical records using a data extraction form after getting Institutional Ethics Committee approval. Data were analyzed using Epi Info software, with a P < 0.05 taken as statistically significant. Results: The mean age of the participants was 33.6 ± 9.7 years, females (67.2%) outnumbered males. The mean duration of hospital stay was 10.55 ± 4.32 days; the length of hospital stay saw an increasing trend with the increasing age (10.89 days), male sex (11 days), those who had postoperative complications (11 days), and total thyroidectomy (15 days). Those who delayed in seeking healthcare (10 days–1 month) also reported a longer hospital stay. Conclusion: In this study, increasing age, male sex, underweight patients, patients from rural areas, those with lower educational status, and unemployed were found to have a longer hospital stay. Other factors which were seen to be associated with longer hospital stays were those undergoing total thyroidectomy, having associated complications, and delay in health-seeking behavior.

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Thyroid surgery and postoperative hospital stay

Cited by 2 publications

References 14 publications

Timing of hypocalcemia after total or near total thyroidectomy: a prospective observational study

Timing of hypocalcemia after total or near total thyroidectomy: a prospective observational study

A risk factor analysis of length of hospital stay in thyroid surgeries: An experience from a tertiary care hospital of Eastern India

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