From: Factors associated with permanent hypothyroidism in infants with congenital hypothyroidism
Characteristic | All patients (n = 80) | Off trial failure (n = 9) | Off trial success (n = 71) | P | Early off trial (n = 9) | On-time off trial (n = 71) | P |
---|---|---|---|---|---|---|---|
NST | |||||||
TSH (μU/ml) (median,range) | 5.2 (0.1–356) | 31.3 (0.8–260) | 4.8 (0.1–356) | 0.141 | 5.3 (0.1–356) | 4.8 (0.5–11.9) | 0.525 |
T4 (μg/dl) | 6.8 ± 3.2 | 7.6 ± 4.1 | 6.7 ± 3.2 | 0.557 | 7.3 ± 1.9 | 6.7 ± 3.4 | 0.674 |
TSH > 20 μU/ml (n,%) | 9 (13.8) | 5 (62.5) | 4 (7.0) | 0.001* | 0 | 9 (15.3) | 0.584 |
T4 < 5 μg/dl (n,%) | 12 (21.8) | 1 (20.0) | 11 (22.0) | 1 | 0 | 12 (24.0) | 0.574 |
Initial TSH (μU/ml) (median,range) | 17.4 (0.8–100.0) | 43.2 (1.0–100.0) | 17.4 (0.8–100.0) | 0.075 | 17.6 (0.8–199.9) | 7.2 (5.0–42.0) | 0.009* |
Initial fT4 (ng/dl) | 1.2 ± 0.4 | 1.0 ± 0.4 | 1.2 ± 0.4 | 0.437 | 1.3 ± 0.2 | 1.1 ± 0.4 | 0.162 |
TSH > 20 μU/ml (n,%) | 39 (49.4) | 5 (55.6) | 34 (48.6) | 0.737 | 5 (55.6) | 34 (48.6) | 0.737 |
fT4 < 0.9 ng/dl (n,%) | 22 (30.1) | 2 (40.0) | 20 (29.4) | 0.634 | 0 (0) | 22 (34.4) | 0.049* |
TSH at off trial (μU/ml) | 3.4 ± 3.0 | 5.7 ± 3.7 | 3.1 ± 3.7 | 0.295 | 3.8 ± 2.3 | 3.4 ± 3.1 | 0.682 |
Delayed TSH elevation (n,%) | 20(25.0) | 1(11.1) | 19(26.8) | 0.437 | 2(22.2) | 18(25.4) | 1.000 |
fT4 at off trial (ng/dl) | 1.5 ± 0.2 | 1.5 ± 0.2 | 1.5 ± 0.2 | 0.796 | 1.4 ± 0.2 | 1.5 ± 0.2 | 0.138 |
Initial T4 dose (μg/kg/day) | 11.2 ± 2.5 | 10.7 ± 2.5 | 11.4 ± 2.5 | 0.442 | 12.1 ± 2.0 | 11.2 ± 2.5 | 0.306 |
T4 dose (1 year) (μg/kg/day) | 3.7 ± 1.4 | 4.3 ± 1.4 | 2.5 ± 1.4 | < 0.001 | 3.3 ± 1.7 | 3.7 ± 1.3 | 0.419 |
T4 dose (2 years) (μg/kg/day) | 3.1 ± 1.2 | 4.9 ± 1.2 | 3.5 ± 1.2 | 0.002 | 2.4 ± 0.3 | 3.2 ± 1.2 | 0.234 |
T4 dose at off trial (μg/kg/day) | 2.8 ± 1.2 | 4.3 ± 1.2 | 2.9 ± 1.2 | 0.001 | 2.5 ± 0.7 | 2.8 ± 1.2 | 0.44 |
Off trial failure (n,%) | 9 (11.3) | 9 (100%) | 0 (0%) | – | 1(11.1) | 8(11.3) | 1.000 |