| Autor: |
Sharif SB; Dr Sayeed Bin Sharif, Resident, MS General Surgery, Sir Slimullah Medical College & Mitford Hospital, Mitford, Dhaka, Bangladesh., Rakib SA, Naznin KS, Alam SM |
| Jazyk: |
angličtina |
| Zdroj: |
Mymensingh medical journal : MMJ [Mymensingh Med J] 2017 Apr; Vol. 26 (2), pp. 335-340. |
| Abstrakt: |
Postoperative transient hypocalcaemia is a common squeal after total thyroidectomy usually due to parathyroid insufficiency. Objective of this study is to find out the optimum cut-off value of parathyroid hormone (PTH) level in early postoperative period as a best predictor for hypocalcaemia. This prospective observational study was carried out from July 2013 to July 2014 in the Department of Surgery Sir Salimullah Medical College & Mitford Hospital (SSMC&MH), in collaboration with department of Otolaryngology SSMC&MH, department of Otolaryngology Bangabandhu Sheikh Mujib Medical University (BSMMU) and department of Otolaryngology Dhaka Medical College & Hospital (DMC&H), Dhaka. Total 92 patients were selected those came for total thyroidectomy. PTH was measured at different percentile 6 hours after surgery to find out optimum cut-off point. In 47.5th percentile at 8.02 cut-off point of PTH found with good combination of sensitivity, specificity, positive and negative predictive value, accuracy and it was 83.33%, 91.66%, 90.90%, 84.62% and 91.30% respectively. We found PTH level as a predictor of hypocalcaemia and PTH 8.02pg/ml was the optimum cut-off point to predict hypocalcaemia within 6 hours after total thyroidectomy. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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