A Systematic Review of Surgical Thyroid Storm
Speaker Credentials
MS-II
Speaker Credentials
BS
College
College of Allopathic Medicine
Medical Specialty
General Surgery
Format
Poster
Start Date
November 2024
End Date
November 2024
Track
3
Abstract
Objective. This systematic review was performed to highlight complications in non-thyroid surgeries amongst patients with undiagnosed hyperthyroidism. Background. Surgical thyroid storm can pose an emergent operative and postoperative complication that mimics the presentation of myocardial infarction, pulmonary embolism, and cerebrovascular accidents. This disease process can be elicited in both thyroid and non-thyroid surgeries and the diagnosis of such pathology can be difficult. In this review, we have reviewed the literature and analyzed cases of thyroid storms in non-thyroid operations. Methods. This systematic review utilized the PRISMA protocol and articles were obtained via Medline/PubMed, EMBASE, and WoS. Key phrases were used for article inclusion and exclusion. Full-text articles were obtained and citations and references were also analyzed to identify additional reports. Results. 54 cases of non-thyroid surgical storm were obtained, with the average patient age being 43 years, with a range of 5-77 years of age. Symptoms most commonly began intraoperatively or shortly after surgery. Manifestations included tachycardia, fever, and/or altered mental status. Several patients had preoperative symptoms pointing to hyperthyroidism that went unnoticed before surgery. Of the available cases found, nine deaths were recorded. Conclusion. Thyroid storm is a severe but rare emergency in patients undergoing non-thyroid surgery. Its acute presentation can manifest similarly to other emergent conditions. Measures to prevent the occurrences of surgical thyroid storms should include gathering a thorough history and physical exam. Grants. This research received no specific grant from any funding agency.
A Systematic Review of Surgical Thyroid Storm
Objective. This systematic review was performed to highlight complications in non-thyroid surgeries amongst patients with undiagnosed hyperthyroidism. Background. Surgical thyroid storm can pose an emergent operative and postoperative complication that mimics the presentation of myocardial infarction, pulmonary embolism, and cerebrovascular accidents. This disease process can be elicited in both thyroid and non-thyroid surgeries and the diagnosis of such pathology can be difficult. In this review, we have reviewed the literature and analyzed cases of thyroid storms in non-thyroid operations. Methods. This systematic review utilized the PRISMA protocol and articles were obtained via Medline/PubMed, EMBASE, and WoS. Key phrases were used for article inclusion and exclusion. Full-text articles were obtained and citations and references were also analyzed to identify additional reports. Results. 54 cases of non-thyroid surgical storm were obtained, with the average patient age being 43 years, with a range of 5-77 years of age. Symptoms most commonly began intraoperatively or shortly after surgery. Manifestations included tachycardia, fever, and/or altered mental status. Several patients had preoperative symptoms pointing to hyperthyroidism that went unnoticed before surgery. Of the available cases found, nine deaths were recorded. Conclusion. Thyroid storm is a severe but rare emergency in patients undergoing non-thyroid surgery. Its acute presentation can manifest similarly to other emergent conditions. Measures to prevent the occurrences of surgical thyroid storms should include gathering a thorough history and physical exam. Grants. This research received no specific grant from any funding agency.