Chereau et al reported scores for predicting neck hematoma following thryoid surgery. This can help to identify a patient who may or may not be suitable for outpatient surgery. The authors are from Sorbonne University and Hospital Pitie Salpetriere in Paris.
Patient selection: unilateral or bilateral thyroid lobectomy
Parameters:
(1) sex
(2) vitamin K antagonist (warfarin, etc)
(3) diabetes mellitus
Parameter
Finding
Points for Uni-lateral Lobextomy
Points for Total Thyroidectomy
sex
male
1
1
female
0
0
vitamin K antagonist
no
0
0
yes
3
4
diabetes
no
0
0
yes
0
1
total score for unilateral lobectomy =
= SUM(points for 2 parameters)
total score for total thyroidectomy =
= SUM(points for all 3 parameters)
Interpretation:
• minimum scores: 0
• maximum score for unilateral lobectomy: 4
• maximum score for total thyroidectomy: 6
Score for Unilateral Lobectomy
Percent Neck Hematoma
0
0.5%
1
1.3%
3
6.5%
4
9.1%
Score for Total Thyroidectomy
Percent Neck Hematoma
0
0.8%
1
1.2%
2
3.2%
4
5.7%
5
19%
6
24%
To read more or access our algorithms and calculators, please log in or register.
