Cogent integration of inflammatory biomarkers and perioperative complications of thyroid surgery in thyroidology

Rev Assoc Med Bras (1992). 2024 Aug 16;70(7):e20240378. doi: 10.1590/1806-9282.20240378. eCollection 2024.

Abstract

Objective: Back to the sources, postoperative nausea and vomiting, hypo- and hypertension, heart rate alterations, and hypoxemia due to laryngospasm might be considered perioperative complications.

Methods: This cross-sectional study was conducted at an Education and Research Hospital between January 2018 and June 2023. The study included a total of 437 cases of thyroid surgery. The demographic data such as age, sex, co-morbidities of the instances, hypotension, hypertension, bradycardia, hypoxemia, and postoperative nausea and vomiting, as well as laboratory data were obtained and analyzed.

Results: Of 437 cases, 334 (76%) were females and 103 (24%) were males, with a mean age of 51.83±11.91 years and 55.32±11.87 years, respectively. No statistical significance was realized between the complications, co-morbid diseases, and age. Notably, no liaison between the complications after awakening from the anesthesia and preoperative laboratory parameters was discerned. However, a high but no significant relationship was revealed between the platelet-to-lymphocyte ratio (P/L) in cases with hypoxemia and hypotension. Finally, no significance between laboratory values, bradycardia, hypertension, and postoperative nausea and vomiting was distinguished.

Conclusion: We postulate that the so-called inflammatory biomarkers measured at the time of preoperative examination in the blood count concept selectively do not enrich for anticipating complications that arise in the perioperative echelon.

MeSH terms

  • Adult
  • Aged
  • Biomarkers* / blood
  • Cross-Sectional Studies
  • Female
  • Humans
  • Hypertension
  • Hypoxia / blood
  • Hypoxia / etiology
  • Male
  • Middle Aged
  • Postoperative Complications* / blood
  • Postoperative Complications* / etiology
  • Postoperative Nausea and Vomiting / blood
  • Postoperative Nausea and Vomiting / etiology
  • Thyroid Diseases / blood
  • Thyroid Diseases / surgery
  • Thyroidectomy / adverse effects

Substances

  • Biomarkers