Post-Thyroidectomy Complications and Risk Factors in Tabuk, Saudi Arabia: A Retrospective Cohort Study
| Autor: | Attiya M Alzahrani, Nada Awad Alsuhaimi, Amani Abdullah Albalawi, Amani S. Alatawi, Yousef S. Alalawi, Basem Almussallam, Saad M Alqahtani, Nada Saleh Albalawi |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
complications medicine.medical_treatment hypocalcaemia 030204 cardiovascular system & hematology 03 medical and health sciences Otolaryngology 0302 clinical medicine Hematoma medicine risk factors Hypocalcaemia Risk factor voice changes business.industry General Engineering Thyroidectomy Endocrinology/Diabetes/Metabolism Retrospective cohort study medicine.disease Surgery Hypoparathyroidism Seroma General Surgery thyroidectomy business 030217 neurology & neurosurgery Kidney disease |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Background Thyroid surgery is one of the most commonly performed procedures internationally. There were no studies conducted in Tabuk, Saudi Arabia, on post-thyroidectomy complications and their risk factors. Objective The aim of this study was to assess post-thyroidectomy complications and determine the risk factors of such complications. Methods This retrospective study included all cases that underwent thyroidectomy at King Salman Armed Forces Hospital, Tabuk, Saudi Arabia, from January 2012 to December 2017. Patients with preoperative hypoparathyroidism, chronic kidney disease, or history of dysphonia were excluded. Data were collected from medical records. Results The study showed 182 patients who underwent thyroidectomy operation between January 2012 and December 2017. Temporary hypocalcemia was developed in 116 patients (63.7%) while it persisted in three (1.6%). Change of voice was reported in five patients (2.7%) while two (1.1%) lost a high-pitched voice. Seroma, hematoma, and tracheal injury were documented in 1.6%, 1.1%, and 0.5%, respectively. Multivariate analysis showed that total thyroidectomy was the most significant (four times) risk factor for the development of hypocalcemia as compared to other surgical procedures. Conclusion Hypocalcemia was the most frequent post-thyroidectomy complication, whereas voice changes, seroma, hematoma, and tracheal injury are rare complications. Additionally, total thyroidectomy has the highest risk of postoperative hypocalcemia. |
| Databáze: | OpenAIRE |
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