UNFAVORABLE OUTCOME AND THEIR PREDICTORS IN PATIENTS WHO UNDERWENT LESS THAN TOTAL THYROIDECTOMIES:LONGITUDINAL STUDY wossenamtataw@gmail.com

 

UNFAVORABLE OUTCOME AND THEIR PREDICTORS IN PATIENTS WHO UNDERWENT LESS THAN TOTAL THYROIDECTOMIES:LONGITUDINAL STUDY

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Ethiopia

Poster with Discussion

Thyroidectomy is a common endocrine procedure performed for various thyroid disorders, and hypocalcemia and hypothyroidism are well-known common complications, with varying incidence rates depending on the extent of surgery. However data in developing countries such as Ethiopia are limited. This study aims to fill that gap by identifying the incidence and predictors of post thyroidectomy complications in patients who underwent less than total thyroidectomy

An institution-based longitudinal study was performed from May 1, 2023 to April 30, 2023, and SPSS version 20 was used for data entry and analysis. Logistic regression analyses were performed to determine predictor variables. An adjusted odds ratio with a 95% CI at a P-value < 0.05 was used to declare a statistically significant association.

Of the 90 study participants,40% had hypothyroidism with 95% CI [20.0-50.0], and 37.8%, with 95% CI [27.8, 38.9], at the 3-month and 6 month follow ups respectively, whereas 11.1%had hypocalcemia,with 95% CI [5.6, 17.8], and 6.7%, with 95% CI [2.2, 12.2], at 3-month and 6-month follow-ups, respectively. In this study, patients who were mildly suspicious preoperatively (AOR = 5.14, 95% CI: (1.27-20.77)), patients who underwent hemithyroidectomy (AOR = 0.20, 95% CI: (0.05-0.82)), and those who underwent the Dunhill procedure (AOR = 0.06, 95% CI: (0.01-0.40)) were predictors of hypothyroidism.Patients who underwent hemithyroidectomy had a significantly greater risk of developing hypocalcaemia (AOR = 34.2, 95% CI: 1.27-92).

This study revealed a high incidence of hypothyroidism and hypocalcemia following hemithyroidectomy,whic should be of great importance in surgical decision-making to reduce postthyroidectomy complications