A Retrospective Audit of Hypocalcaemia Management following Thyroid Surgery in a UK District Hospital ENT Department
Eugene Omakobia, Shannon Gilmore,
Correspondence Address :
Eugene Omakobia, MA
MRCS (ENT) ENT Specialty
Calderdale Royal Hospital
Received on: January 22, 2018, Accepted on: February 28, 2018, Published on: March 07, 2018
Citation: Eugene Omakobia, Shannon Gilmore, Ahmad Orabi (2018). A Retrospective Audit of Hypocalcaemia Management following Thyroid Surgery in a UK District Hospital ENT Department
Copyright: 2018 Eugene Omakobia, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objectives: To audit local practice regarding hypocalcaemia monitoring and management after thyroid surgery. To compare practice with world literature and established British, American and Australian guidelines.
Methods: A retrospective audit over a 12 month period reviewing hypocalcaemia management for all 45 patients undergoing total or completion thyroidectomy within our ENT department.
Results: One third of all patients required calcium supplementation for hypocalcaemia. We are largely following British Thyroid Association and Society for Endocrinology UK guidelines. Statistical analysis shows that early (4 hour) post-operative PTH measurements play a key role in hypocalcaemia risk stratification.
Conclusions: Predicting hypocalcaemia risk may assist in facilitating early discharge in low risk patients and daycase surgery may be a possibility. We have used our findings to develop an agreed local post-operative hypocalcaemia management algorithm.