{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T02:29:10Z","timestamp":1792636150865,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine if a serum parathyroid hormone (PTH)\u2013based discharge algorithm can be used to safely facilitate outpatient total thyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review of consecutive total and completion thyroidectomies performed by the senior author from March 2008 to November 2009.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>An academic tertiary care center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>At the authors\u2019 institution, patients undergoing total or completion thyroidectomy are subject to a same\u2010day discharge algorithm that incorporates postanesthesia care unit rapid PTH as the major discharge criterion. Patients with PTH &gt;30 pg\/mL are eligible for same\u2010day discharge without supplementation, patients with PTH between 20 and 30 pg\/mL are eligible for discharge but receive calcium supplementation, and patients with PTH &lt;20 pg\/mL are observed overnight (23 hours) with calcium and vitamin D supplementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred eighty patients (mean age, 48.9 years; 83.3% female) underwent total (77.2%) or completion (22.7%) thyroidectomy with or without node dissection. Forty\u2010two percent were performed with minimally invasive video\u2010assisted (MIVA) technique. Seventy\u2010six percent (137\/180) of patients had a PTH &gt;20 pg\/mL, meeting the PTH discharge criterion. Sixty\u2010nine percent (95\/137) of eligible patients were discharged on the same day (53.1% of total). Ten percent of discharge\u2010eligible patients were admitted due to drain placement. Of the 95 patients undergoing outpatient surgery, none were admitted, seen, or called for symptoms of hypocalcemia in the postoperative period. All 180 patients were eucalcemic at postoperative day (POD) 7 and POD 30 office visits. No patients were hypoparathyroid at POD 30. No significant difference in postoperative hypoparathyroidism existed between completion versus total thyroidectomy (11.1% vs 22.2%, <jats:italic>P<\/jats:italic> =. 28) or MIVA versus standard technique (<jats:italic>P<\/jats:italic> =. 37).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A PTH\u2010based discharge algorithm can safely facilitate outpatient total or completion thyroidectomy, with minimal risk of clinically significant outpatient hypocalcemia.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599810390453","type":"journal-article","created":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T13:38:02Z","timestamp":1293802682000},"page":"43-47","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["PACU PTH Facilitates Safe Outpatient Total Thyroidectomy"],"prefix":"10.1002","volume":"144","author":[{"given":"Jeffrey J.","family":"Houlton","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Cincinnati Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Pechter","sequence":"additional","affiliation":[{"name":"University of South Florida College of Medicine Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David L.","family":"Steward","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Cincinnati Cincinnati Ohio 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