title: Monitoring of Hypocalcaemia & Hyperglycemia predictive consequences of Thyroidectomy.
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 1st Jan 2012 till 30th 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: School of Pharmacy, Monash University Malaysia, PO box 46150, Bandar Sunway, Selangor, Malaysia. wasifgillani@gmail.com.
authors.forename: Syed Wasif
authors.initials: SW
authors.lastname: Gillani
authors.forename: Diana Laila
authors.initials: DL
authors.lastname: Rahmatillah
authors.forename: Yelly Oktavia
authors.initials: YO
authors.lastname: Sari
authors.forename: Mirza R
authors.initials: MR
authors.lastname: Baig
authors.forename: Syed Azhar
authors.initials: SA
authors.lastname: Syed Sulaiman