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Postoperative serum magnesium levels as a predictor for the need for calcium replacement after total thyroidectomy: a prospective study
Soares, Carlos Segundo Paiva; Oliveira, Cristiano Claudino de; Koga, Katia Hiromoto; Moriguchi, Sonia Marta; Terra, Simone Antunes; Tagliarini, José Vicente; Mazeto, Gláucia Maria Ferreira da Silva.
  • Soares, Carlos Segundo Paiva; Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço. Botucatu. BR
  • Oliveira, Cristiano Claudino de; A.C. Camargo Cancer Center. Departamento de Anatomia Patológica. São Paulo. BR
  • Koga, Katia Hiromoto; Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Departamento de Medicina Nuclear. Botucatu. BR
  • Moriguchi, Sonia Marta; Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Departamento de Medicina Nuclear. Botucatu. BR
  • Terra, Simone Antunes; Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Departamento de Patologia. Botucatu. BR
  • Tagliarini, José Vicente; Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço. Botucatu. BR
  • Mazeto, Gláucia Maria Ferreira da Silva; Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Departamento de Clínica Médica. Botucatu. BR
Arch. endocrinol. metab. (Online) ; 67(3): 355-360, June 2023. tab, graf
Article Dans Anglais | LILACS-Express | LILACS | ID: biblio-1429748
ABSTRACT
ABSTRACT

Objective:

Our aim was to assess the ability of serum magnesium (Mg), measured on the first postoperative day (Mg1PO), to predict the need for calcium (Ca) replacement in patients undergoing total thyroidectomy (TT). Subjects and

methods:

Eighty patients undergoing TT, with Mg1PO and PTH dosage in the first (PTH1h) and eighth (PTH8h) hours after TT, were evaluated for the need for Ca replacement. Data were evaluated by uni/multivariate logistic regression and Receiver Operating Characteristic (ROC) curve.

Results:

32 patients (40%) required Ca replacement. Median PTH1h, PTH8h and Mg1PO were higher in the no replacement group 17 versus (vs) 3 pg/mL (p < 0.001), 18.2 vs 3.0 pg/mL (p < 0.001) and 2 vs 1.6 mg/dL (p < 0.001), respectively. Mg1PO was the isolated predictor for this replacement (odds ratio = 0.0004, 95% confidence interval 0.000003-0.04; p = 0.001), with the cut-off value of 1.8 mg/dL showing sensitivity and specificity of 78.1% and 87.5%, respectively.

Conclusions:

In this group of patients, serum Mg1PO was the isolated predictor for the need for Ca replacement.


Texte intégral: Disponible Indice: LILAS (Amériques) Type d'étude: Étude observationnelle / Étude pronostique / Facteurs de risque langue: Anglais Texte intégral: Arch. endocrinol. metab. (Online) Thème du journal: Endocrinologie / Métabolisme Année: 2023 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: A.C. Camargo Cancer Center/BR / Universidade Estadual Paulista/BR

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Texte intégral: Disponible Indice: LILAS (Amériques) Type d'étude: Étude observationnelle / Étude pronostique / Facteurs de risque langue: Anglais Texte intégral: Arch. endocrinol. metab. (Online) Thème du journal: Endocrinologie / Métabolisme Année: 2023 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: A.C. Camargo Cancer Center/BR / Universidade Estadual Paulista/BR