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Parathyroid hormone early percent change: an individualized approach to predict postthyroidectomy hypocalcemia
American Journal of Otolaryngology, 09/08/2011
Chapman DB et al. – Patients with a greater than 44% pparathyroid hormone(PTH) decrease from preoperative to 6–hour postoperative are very likely to develop hypocalcemia. The authors would propose that these patients need further inpatient monitoring to progress to safe discharge. Likewise, patients with a less than 44% decrease at the 6–hour time point are unlikely to develop hypocalcemia and may be considered safe for discharge.