Document Detail


Safety and feasibility of outpatient percutaneous native kidney biopsy in the developing world: experience in a large tertiary care centre in Eastern India.
MedLine Citation:
PMID:  23043224     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIM: Optimal time of observation following percutaneous biopsy has not been clearly established. Outpatient biopsy protocol was established in our centre for low risk patients and we assessed its efficacy and safety. METHODS: Patients fulfilling the low risk profile underwent a real time ultrasound-guided percutaneous native kidney biopsy. They were observed for 6 hours and any complication was recorded. Ultrasound and hematocrit was done only in those patients with complications. Patients were contacted on telephone after 24 hours and in case of any emergency. RESULTS: 403 native kidney biopsies were performed from June 2011 to June 2012 of which 115(28.5%) were on an outpatient basis. This was a 41.4% increase in the number of biopsies compared to the same period in the previous year. 15 patients(13.04%) had macroscopic haematuria within 2, 4 and 6 hours in 8(53.33%), 6(40%) and 1(6.67%) patients respectively. One of them had haematuria on follow up phone call resolving without intervention. Only 2(1.74%) patients developed significant bleeding with drop in haematocrit needing overnight observation, with one requiring blood transfusion (with perinephric haematoma not requiring intervention). Complication rates were also similar in the 288 patients who had at least an overnight inpatient observation post biopsy. There was no biopsy related mortality. CONCLUSIONS: Percutaneous native kidney biopsies can be safely performed on outpatient basis in selected low risk patients. This approach increases the number of procedures, decreases the waiting periods and can have potential cost savings making it an attractive option in the developing world.
Authors:
Vishal Golay; Dipankar Sarkar; Punnoose Thomas; Mayuri Trivedi; Ametashver Singh; Arpita Roychowdhary; Sanjay Dasgupta; Rajendra Pandey
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-9
Journal Detail:
Title:  Nephrology (Carlton, Vic.)     Volume:  -     ISSN:  1440-1797     ISO Abbreviation:  Nephrology (Carlton)     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9615568     Medline TA:  Nephrology (Carlton)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Nephrology © 2012 Asian Pacific Society of Nephrology.
Affiliation:
Department of Nephrology, Institute of Postgraduate Medical Education and Research, 244, AJC Bose Road, Kolkata, West Bengal, India, PIN-700020.
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