Table 3.
Multivariable logistic regression models of characteristics associated with postoperative hypocalcemia
Model 1 | Model 2 | Model 3 | |
---|---|---|---|
Variables | OR (95% CI); p-value | OR (95% CI); p-value | OR (95% CI); p-value |
Patient age at surgery | 0.99 (0.98–1.01); p = 0.27 | 0.99 (0.97–1.00); p = 0.17 | 0.99 (0.97–1.01); p = 0.19 |
Sex (Male vs. Female) | 0.66 (0.34–1.27); p = 0.21 | 0.62 (0.32–1.22); p = 0.17 | 0.66 (0.34–1.29); p = 0.23 |
ASA Score (Ref. ASA I/II) | |||
ASA III/IV | 1.49 (0.88–2.52); p = 0.14 | 1.50 (0.87–2.57); p = 0.14 | 1.60 (0.92–2.76); p = 0.10 |
Surgeon volume (high vs. low volume) | 1.28 (0.77–2.13); p = 0.34 | 1.08 (0.64–1.81); p = 0.78 | 1.14 (0.67–1.93); p = 0.63 |
Indication (Ref. Goiter) | |||
Malignancy | 0.93 (0.36–2.4); p = 0.89 | 0.76 (0.29–2.04); p = 0.59 | 0.75 (0.27–2.04); p = 0.57 |
Hyperthyroidism/Graves' disease | 0.90 (0.52–1.57); p = 0.72 | 0.99 (0.56–1.75); p = 0.97 | 0.99 (0.55–1.75); p = 0.96 |
Recurrent Goiter | 1.02 (0.3–3.47); p = 0.98 | 0.82 (0.24–2.79); p = 0.75 | 0.87 (0.25–3.04); p = 0.82 |
Thyroiditis | 0.19 (0.02–1.57); p = 0.12 | 0.22 (0.03–1.81); p = 0.16 | 0.20 (0.02–1.65); p = 0.13 |
Extent of surgery (Ref. Total thyroidectomy) | |||
TT + lymph node dissection | 1.08 (0.37–3.15); p = 0.89 | 1.48 (0.49–4.46); p = 0.49 | 1.27 (0.41–3.91); 0.68 |
iPTH-levels (Ref. > 15 pg/ml) | |||
iPTH 10.0—15.0 pg/ml | 2.29 (1.25–4.18); p = 0.01 | 0.87 (0.44–1.72); p = 0.68 | |
iPTH < 10.0 pg/ml | 5.81 (3.59–9.41); p < 0.01 | 2.01 (1.12–3.59); p = 0.02 | |
Percentage decrease of iPTH (Ref. decrease of 1–50% or no decrease) | |||
iPTH-decrease > 50% | 7.08 (4.42–11.33); p < 0.01 | 5.51 (3.11–9.77); p < 0.01 | |
Statistical model performance, AIC | 573.1 | 544.3 | 539.7 |
AIC Akaike information criterion