Revista de Investigación Científica y Tecnológica

Vol. 4 No. 2 (2020)
Artículos Originales

Correlation of total calcium, ionic calcium as a prognostic value of hypoparathyroidism after total thyroidectomy at the Instituto de Previsión Social Hospital Central - Paraguay - 2019

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  • Osvaldo Gregorio Quintana González,
  • Roque Rafael Rodríguez Leiva,
  • Jessica Gill Oliveira,
  • Angélica María Jatchuk Luchuk,
  • Mauricio Nicolás Barreto Ríos,
  • Joel Iván López Mendoza
Osvaldo Gregorio Quintana González
Instituto de Previsión Social, Hospital Central. Asunción, Paraguay
Bio
Roque Rafael Rodríguez Leiva
Instituto de Previsión Social, Hospital Central. Asunción, Paraguay
Bio
Jessica Gill Oliveira
Instituto de Previsión Social, Hospital Central. Asunción, Paraguay
Bio
Angélica María Jatchuk Luchuk
Instituto de Previsión Social, Hospital Central. Asunción, Paraguay
Bio
Mauricio Nicolás Barreto Ríos
Instituto de Previsión Social, Hospital Central. Asunción, Paraguay
Bio
Joel Iván López Mendoza
Instituto de Previsión Social, Hospital Central. Asunción, Paraguay
Bio
DOI: https://doi.org/10.36003/Rev.investig.cient.tecnol.V4N2(2020)4

Published 2020-12-24

Keywords

  • Hipoparatiroidismo,
  • Tiroidectomía,
  • Trastornos del Metabolismo del Calcio
  • Hypoparathyroidism,
  • Thyroidectomy,
  • Calcium Metabolism Disorders

How to Cite

Quintana González, O. G. ., Rodríguez Leiva, R. R. ., Gill Oliveira, J. ., Jatchuk Luchuk, A. M. ., Barreto Ríos, M. N. ., & López Mendoza, J. I. . (2020). Correlation of total calcium, ionic calcium as a prognostic value of hypoparathyroidism after total thyroidectomy at the Instituto de Previsión Social Hospital Central - Paraguay - 2019. Revista De Investigación Científica Y Tecnológica, 4(2), 35–48. https://doi.org/10.36003/Rev.investig.cient.tecnol.V4N2(2020)4

Copyright (c) 2020 Osvaldo Gregorio Quintana González, Roque Rafael Rodríguez Leiva, Jessica Gill Oliveira, Angélica María Jatchuk Luchuk, Mauricio Nicolás Barreto Ríos, Joel Iván López Mendoza

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Introduction: Hypocalcaemia is a frequent complication after total thyroidectomy, postoperative dosing of parahormone is important to identify the risk of early symptomatic hypocalcaemia after total thyroidectomy, but it is important to identify other types of indicators. Objective: to correlate the dose of total calcium and ionic calcium with the dose of paratohormone as a prognostic value of hypoparathyroidism in patients undergoing total thyroidectomy in the General Surgery service of the Central Hospital of the Social Welfare Institute from June 2018 to June 2019. Methodology: Retrospective descriptive study, in which factors such as demographic, clinical, laboratory and pathological data were evaluated. Medical, surgical and office records were used. Results: 58 patients were evaluated, 93 were women. The average age was 52 ± 14 years. 65.5% of the patients presented normocalcaemia, 13.8% Transient hypoparathyroidism (HT) and 20.7% Permanent hypoparathyroidism (HP). Before the operation, the patients present normal total calcium (CAT) and ionized calcium (CAI); It should be noted that patients with HP present lower CAT and CAI dosages in all controls and patients with HT show an increase in the third control (96hs). Conclusion: A patient with hypocalcaemia determined with IAC at 24h showed a risk factor of 90 times more than HP. The measurement of CAT 96hs and CAI 24hs, showed a high correlation to predict the HP measured by PTH (r = 0.734 and r = 0.719, respectively).

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