Predicting Factors of Post-Total Thyroidectomy Hypocaӏcemia

Predicting Factors of Post-Total Thyroidectomy Hypocaӏcemia

Predicting post-total thyroidectomy hypocalcemia involves a combination of patient-specific, disease-related, and surgical factors. Key predictive factors include the intrinsic characteristics of the thyroid disease, pre-operative levels of calcium and vitamin D, the degree of parathyroid gland manipulation or injury, advanced age, and pre-existing hyperthyroidism. While no single factor is definitive, a low post-operative parathyroid hormone (iPTH) level is a strong indicator of developing hypocalcemia

Inclusion Criteria:

1. patients requiring total thyroidectomy.
2. age between 18-75 years old
3. both gender
4. no co-existing disease.

Exclusion Criteria:

1. previous hemithyroidectomy, lobectomy, resection of the parathyroid gland. 2. 2. patients with missing laboratory data, previous subtotal thyroidectomy.

3. diagnosed pathology of the parathyroid gland