Serviços Personalizados
Journal
Artigo
Indicadores
- Citado por SciELO
- Acessos
Links relacionados
- Similares em SciELO
Compartilhar
Cirugía y cirujanos
versão On-line ISSN 2444-054Xversão impressa ISSN 0009-7411
Resumo
GARAY-LECHUGA, Daniel; LEON-GONZALEZ, Mónica; RAMIREZ-MULHERN, Isabela e JEAN-SILVER, Enrique R.. High urinary output as a predictor of hypoparathyroidism post total-thyroidectomy. Cir. cir. [online]. 2021, vol.89, n.4, pp.497-502. Epub 03-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.20000696.
Objective:
to determine the usefulness of high urine output as a low-cost early predictor for postoperative hypoparathyroidism..
Method:
A study was conducted inside The American British Cowdray Medical Center I.A.P. for a year in adult patients who underwent total thyroidectomy divided in two groups: those with post-surgical hypocalcemia and without post-surgical hypocalcemia using the 24-hour calcium levels. Urinary output of each patient was verified searching for the relation between this measurement and the probability of developing post-surgical hypoparathyroidism.
Results:
A total of 47 patients were studied, of whom 19 (40%) were classified with post-surgical hypocalcemia and 28 (59.5%) with no post-surgical hypocalcemia. The urinary output mean on the first 8 hours post-operatory was higher in the post-surgical hypocalcemia group in comparison with the group with no evidence of hypocalcemia, showing no significant difference (p = 0.392). Urinary output 16 hours post-surgical was no significant either (p = 0.435).
Conclusions:
In our study, there was no relation found between the increase of the urinary output and the post-surgical hypoparathyroidism prediction. Further studies with a bigger sample and a stronger methodologic design (prospective) are needed to determine if the difference obtained may be useful as a predictor.
Palavras-chave : Hypocalcemia; Hypoparathyroidism; Parathormone; Thyroidectomy.