Perioperative indicators of hypocalcemia in total thyroidectomy: the role of vitamin D and parathyroid hormone

The American Journal of Surgery, 10/21/2013

Hypocalcemia is a common complication of thyroidectomy. The aim of this study was to identify risk factors for this problem. Younger age and low postoperative parathyroid hormone levels are predictive of symptomatic hypocalcemia. A parathyroid hormone level outside of the reference range may indicate a need for more aggressive postoperative calcium supplementation and treatment with activated vitamin D. Older patients with normal postoperative parathyroid hormone levels may be safely discharged with appropriate calcium supplementation.

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