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Preoperative vitamin D level as predictor of post‐thyroidectomy hypocalcemia in patients sustaining transient parathyroid injury
Author(s) -
Danan Deepa,
Shonka David C.
Publication year - 2017
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24775
Subject(s) - vitamin d and neurology , medicine , thyroidectomy , vitamin d deficiency , parathyroid hormone , calcium , thyroid
Background Several studies have sought to identify predictors of postoperative hypocalcemia after total thyroidectomy; however, there have been conflicting results regarding the impact of preoperative vitamin D deficiency. Methods The medical records of patients undergoing total thyroidectomy were retrospectively reviewed. The number of parathyroid glands identified or reimplanted at the time of surgery was used as a marker of transient parathyroid gland damage. Results Sixty‐seven patients were included in the study. Vitamin D deficiency was a significant predictor of hypocalcemia in patients in whom ≥3 parathyroid glands were identified, but not in patients in whom 0‐2 parathyroid glands were identified intraoperatively (odds ratio [OR] 5.8; P = .036). Conclusion Vitamin D deficiency is a significant predictor of postoperative hypocalcemia in patients in whom ≥3 parathyroid glands are identified intraoperatively, but not in patients who sustain minimal transient damage to the parathyroid glands.