Chereau et al reported scores for predicting neck hematoma following thyroidectomy. These can help to identify potential candidates for ambulatory surgery. The authors are from Sorbonne University in Paris.
Patient selection: lobectomy or total thyroidectomy
Parameters:
(1) sex
(2) vitamin K antagonist
(3) diabetes
|
Parameter
|
Finding
|
Points for Lobectomy
|
|
sex
|
female
|
0
|
|
|
male
|
1
|
|
vitamin K antagonist
|
no
|
0
|
|
|
yes
|
3
|
|
Parameter
|
Finding
|
Points for Total Thyroidectomy
|
|
sex
|
female
|
0
|
|
|
male
|
1
|
|
vitamin K antagonist
|
no
|
0
|
|
|
yes
|
4
|
|
diabetes
|
no
|
0
|
|
|
yes
|
1
|
total scores =
= SUM(points for relevant parameters)
Interpretation:
• minimum lobectomy score: 0
• maximum lobectomy score: 4
• number of combinations: 4 (0, 1, 3, 4)
• minimum total thyroidectomy score: 0
• maximum total thyroidectomy score: 6
• Ambulatory surgery is feasible for a patient with a score of 0 or 1.
|
Lobectomy Score
|
Percent Hematomas
|
|
0
|
0.5%
|
|
1
|
1.3%
|
|
3
|
6.5%
|
|
4
|
9.1%
|
|
Thyroidectomy Score
|
Percent Hematomas
|
|
0
|
0.8%
|
|
1
|
1.2%
|
|
2
|
3.2%
|
|
4
|
5.7%
|
|
5
|
18.9%
|
|
6
|
23.5%
|
Other complications include:
(1) postoperative hypocalcemia
(2) transient recurrent laryngeal nerve palsy
(3) nausea and vomiting
