Native renal biopsy: outcomes with a 4-h observation period in low-risk outpatients

被引:4
作者
Trinh, Katie [1 ]
Bency, Rosamma [1 ,2 ]
Kairaitis, Lukas [1 ,3 ]
机构
[1] Univ Western Sydney, Western Renal Serv, Sydney, NSW, Australia
[2] Univ Western Sydney, Tamworth Base Hosp, Sydney, NSW, Australia
[3] Univ Western Sydney, Sch Med, Sydney, NSW, Australia
关键词
renal biopsy; ambulatory care; complication;
D O I
10.1111/imj.15645
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Current practice guidelines recommend that 'low-risk' outpatients undergoing percutaneous native renal biopsy (PRB) are observed for 6-8 h to identify post-biopsy complications. We performed a retrospective review of 225 PRB procedures in low-risk outpatients who were observed for a 4-h period to determine the safety with regard to complication rate and timing. PRB was performed using a standardised protocol and under ultrasound guidance with a 16- or 18-gauge needle. Bleeding complications occurred in 7% (16/225) of patients, of which 88% (14/16) were detected within a 4-h period. The two undetected complications presented more than 72 h after the procedure. This suggests that a 4-h observation period may be safe and adequate in identifying the majority of patients who will experience significant complications in the first 24 h, with a potential saving of time and resources.
引用
收藏
页码:130 / 133
页数:4
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