Predictors of Hypocalcemia in Patients Undergoing Parathyroidectomy with the Diagnosis of Primary Hyperparathyroidism

Abstract

Objectives: Hypocalcemia is one of the important and potentially dangerous complications seen after parathyroidsurgery. The purpose of our study was to determine the predictive factors for hypocalcemia in the postoperative periodand to identify the risky patient group.Methods: 77 patients who underwent parathyroid surgery between January 2014 and July 2018 were included inthe study. The patients were divided into four groups on the first postoperative day and on the fourth day in patientswith hypocalcemia and normocalcemic cases. Factors predicting hypocalcemia were statistically compared betweengroups.Results: The mean age of the patients (F/M: 65/12) was 58.2±11.7 years. The preoperative serum calcium level of patients with hypocalcemia on the first postoperative day was 187.5 pg/ml, 25-hidroxy vitamine D (25 OHD)