Research Article

Risk Factor Analysis and Prediction of Severe Hypocalcemia after Total Parathyroidectomy without Auto-Transplantation in Patients with Secondary Hyperparathyroidism

Table 2

Univariate logistic regression analysis of SH presence based on preoperative data in the training cohort.

VariableOR (95%CI)P value

Gender, male vs female1.461 (0.795–2.685)0.222
Age (y)0.929 (0.903–0.957)<0.001
BMI, >25 vs ≤25 (kg/m2)1.328 (0.629–2.742)0.444
Underlying diseases
 Diabetic nephropathy vs glomerulonephritis0.418 (0.021–2.676)0.434
 Hypertensive nephropathy vs glomerulonephritis2.436 (0.612–9.477)0.194
 Polycystic kidney vs glomerulonephritis0.731 (0.102–3.397)0.713
 Others vs glomerulonephritis1.462 (0.468–4.371)0.501
 Unknown vs glomerulonephritis1.139 (0.541–2.488)0.737
Duration of dialysis (y)0.935 (0.858–1.021)0.133
Dialysis modality, peritoneal dialysis vs hemodialysis3.443 (0.880–14.369)0.073
iPTH, >1000 vs ≤1000 (pg/mL)2.250 (1.789–15.403)0.003
Alkaline phosphatase, >420 vs ≤420 (U/L)7.893 (3.709–16.797)<0.001
Serum calcium (mmol/L)0.025 (0.005–0.118)<0.001
Serum phosphate (mmol/L)1.389 (0.800–2.411)0.243
Serum kalium (mmol/L)0.765 (0.491–1.191)0.236
Hemoglobin (g/L)0.976 (0.959–0.993)0.006
Albumin (g/L)0.902 (0.834–0.975)0.009
Serum creatinine (μmol/L)1.000 (0.999–1.002)1.000
Blood urea nitrogen (mmol/L)1.018 (0.972–1.066)0.449
Prothrombin time (s)1.629 (1.098–2.417)0.015
Fibrinogen (g/L)1.023 (0.923–1.134)0.666

BMI: body mass index; iPTH: intact parathyroid hormone; OR: odds ratio; CI: confidence interval.