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Monitoring of Hypocalcaemia & Hyperglycemia predictive consequences of Thyroidectomy

Gillani, Syed Wasif - Nama Orang; Diana Laila Rahmatillah - Nama Orang; Yelly Oktavia Sari - Nama Orang; Mirza R Baig - Nama Orang; Syed Azhar Syed Sulaiman - Nama Orang;

Abstract
Background:Hyperglycemia and hypocalcaemia have separately been attributed to adverse outcomes in critically ill patients. The study was aim determine whether hyperglycemia and hypocalcaemia together post-operative effect of thyroidectomy and evaluate the gender & age impact on the extend of clinical condition.
Methods:All the patients underwent thyroidectomy in the duration of 1 st Jan 2012 till 30 th June, 2013 in HPP and HUSM Kelantan, Malaysia. Serum evaluation has been made on 4 consecutive reading with duration of 6 hours. The predictive trend has been established to identify the hypokalemic and hyperglycemic condition. Ethical approvals & Patients’ consent forms have been made prior to conduct this study.
Results:The incidence of hyperglycemia [≥150 mg/dl(8.3 mmol/L)] and hypocalcaemia (serum calcium < 8.5 mg/dl (2.2 mmol/L)] were 39.4% and 43.9% respectively. Hyperglycemia and hypocalcaemia associated with age and length of stay, significant association has been found among pre-operative diagnosis as well. The interaction of hyperglycemia and hypocalcaemia did not separate effects on mortality.
Conclusion:As demonstrated, the prevalence of hyperglycemia and hypocalcaemia in post-thyroidectomy patients is considerable high. Also, the linear association pattern has been shown. However, considering the disease severity, the association of hyperglycemia and hypocalcaemia with surgical ward indicators of morbidity could not be verified.
Keywords:Thyroidectomy, Endocrine disorders, Clinical practice, Hyperglycemia, Hypocalcemia


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Informasi Detail
Judul Seri
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No. Panggil
Artikel
Penerbit
Malaysia : Springer., 2014
Deskripsi Fisik
-
Bahasa
English
ISBN/ISSN
doi:10.1186/1755-768
Klasifikasi
NONE
Tipe Isi
-
Tipe Media
-
Tipe Pembawa
-
Edisi
International Archives of Medicine2014,7:13
Subjek
Medicine
hyperglycemia
Hypocalcaemia
Thyroidectomy
Info Detail Spesifik
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Pernyataan Tanggungjawab
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  • Monitoring of Hypocalcaemia & Hyperglycemia predictive consequences of Thyroidectomy
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