{"id":7725,"date":"2023-12-04T08:38:07","date_gmt":"2023-12-04T08:38:07","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=7725"},"modified":"2025-08-05T08:36:34","modified_gmt":"2025-08-05T07:36:34","slug":"saving-inpatient-beds-are-day-case-total-parathyroidectomies-possible-and-safe-2023","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2023\/12\/04\/saving-inpatient-beds-are-day-case-total-parathyroidectomies-possible-and-safe-2023\/","title":{"rendered":"Saving inpatient beds: are day-case total parathyroidectomies possible and safe? (2023)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br aria-hidden=\"true\" \/>Conference abstract<\/p>\n<p><strong>Author(s):<\/strong><br aria-hidden=\"true\" \/>*Sultana E.; *McDonald S.; Al-Saadi N.; Chang J.; *Sandhu K.; *Houghton A.<\/p>\n<p><strong>Citation:<\/strong><br aria-hidden=\"true\" \/>British Journal of Surgery. Conference: Annual Congress of the Association of Surgeons of Great Britain and Ireland. Harrogate United Kingdom. 110(Supplement 6) (pp vi12), 2023.<\/p>\n<p><strong>Abstract:<\/strong><br aria-hidden=\"true\" \/>Introduction: Total parathyroidectomy on patients with hyperparathyroidism traditionally required an inpatient hospital stay to monitor patients for postoperative hypocalcaemia. Our centre developed a safe protocol in 2015 which enables total parathyroidectomies to be carried out as a day-case procedure. This protocol, developed in conjunction with the renal physicians, involves giving the patient oral alfacalcidol preoperatively for 5 days and close monitoring of the calcium levels postoperatively to permit safe same day discharge. Method(s): A single centre retrospective study was carried out on all patients who underwent a total parathyroidectomy for hyperparathyroidism between 2005 and 2022. A comparison study was done before and after the protocol was introduced in 2015. Data were collected regarding the patient comorbidities, peri-operative calcium level, post-operative calcium, potassium and parathyroid levels, length of hospital stay, operative procedure details, hospital readmission, and 30-day morbidity. Result(s): 57 patients underwent total parathyroidectomy during the study period (22 before protocol and 35 after the protocol). After introduction of the protocol, 40% of patients were discharged on the same day, compared to only 4.54% previously. The duration of inpatient hospital stay was reduced from 0-13 days to 0-3 days. Reasons for prolonged hospital stay in the remaining patients included refractory hyperkalaemia requiring dialysis, complications secondary to anaesthesia, as well as hypocalcaemia in a few cases. No patient required readmission during the 30-day post-operative period. Conclusion(s): Day-case surgery for total parathyroidectomy can be achieved safely in patients with a preoperative regimen of alfacalcidol and close monitoring of calcium levels post-operatively, emulating a virtual ward round.<\/p>\n<p><a title=\"Original URL: https:\/\/academic.oup.com\/bjs\/article\/110\/Supplement_6\/znad241.046\/7245380. Click or tap if you trust this link.\" href=\"https:\/\/academic.oup.com\/bjs\/article\/110\/Supplement_6\/znad241.046\/7245380?login=false\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"Verified\" data-linkindex=\"0\">Link to full-text<\/a> [NHS OpenAthens account required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication:Conference abstract Author(s):*Sultana E.; *McDonald S.; Al-Saadi N.; Chang J.; *Sandhu K.; *Houghton A. Citation:British Journal of Surgery. Conference: Annual Congress of the Association of Surgeons of Great Britain and Ireland. Harrogate United Kingdom. 110(Supplement 6) (pp vi12),<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2023\/12\/04\/saving-inpatient-beds-are-day-case-total-parathyroidectomies-possible-and-safe-2023\/\">Read more <span class=\"screen-reader-text\">Saving inpatient beds: are day-case total parathyroidectomies possible and safe? (2023)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[1029,684,228],"class_list":["post-7725","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-1029","tag-day-surgery","tag-surgery"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7725","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=7725"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7725\/revisions"}],"predecessor-version":[{"id":8856,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7725\/revisions\/8856"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=7725"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=7725"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=7725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}