Shame this paper, which has some good points, ends up doing what they all do, assessing hypothyroidism by TSH.
Is there any good research which shows that TSH reflects thyroid hormone status however old we are? Of course not.
Front Endocrinol (Lausanne). 2019; 10: 258.
Published online 2019 Apr 24. doi: 10.3389/fendo.2019.00258
Hypothyroidism as a Predictor of Surgical Outcomes in the Elderly
Marco Vacante,1 Antonio Biondi,1 Francesco Basile,1 Roberto Ciuni,1 Salvatore Luca,1 Salomone Di Saverio,2 Carola Buscemi,3 Enzo Saretto Dante Vicari,3 and Antonio Maria Borzì3,*
There is a high prevalence of hypothyroidism in the elderly population, mainly among women. The most important cause is autoimmune thyroiditis, but also iodine deficiency, radioiodine ablation, and surgery may be responsible for hypothyroidism in elderly hospitalized patients. Thyroid-related symptoms are sometimes comparable to physiological manifestations of the aging process, and hypothyroidism may be related with many symptoms which can be present in critical patients, such as cognitive impairment, cardiovascular, gastrointestinal, and hematological alterations, and eventually myxedema coma which is a severe and life-threatening condition in older adults. Adequate thyroid hormone levels are required to achieve optimal outcomes from any kind of surgical intervention. However, only few randomized clinical trials investigated the association between non-thyroidal illness (or low-T3 syndrome), and adverse surgical outcomes, so far. The goal of this review is to discuss the role of thyroid function as a predictor of surgical outcomes in the elderly.
Keywords: hypothyroidism, elderly, surgery, thyrotoxicosis, low T3 syndrome