PMID: 9543363Apr 16, 1998Paper

Pediatric renal biopsy: should this procedure be performed in an outpatient setting?

Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
I D DavisE D Avner

Abstract

Although several retrospective reports suggest that pediatric outpatient renal biopsies may be done in a safe and cost-effective manner, risk factors and the natural history of major complications following this procedure have not been clearly delineated. In an effort to determine the minimal observation period required to detect major post-renal biopsy complications in children and to establish clinical parameters predictive of these complications, a retrospective review of 177 percutaneous renal biopsies was performed. The overall major complication rate was 3.4%, while the minor complication rate was 14.1%. The mean percentage change in hemoglobin 4-10 h postbiopsy in patients with major bleeding complications was significantly greater than patients with minor bleeding complications. Using a 16% drop in hemoglobin 4-10 h postbiopsy, the sensitivity and specificity of identifying a major bleeding complication was 100% and 98%, respectively, while the positive and negative predictive value was 68% and 100%, respectively. All patients with major complications due to excess sedation or immediate bleeding were diagnosed within 11 h of the biopsy. Automated renal biopsies offered several safety and efficiency advantages compared w...Continue Reading

Citations

Aug 13, 2008·International Urology and Nephrology·Gülay DemircinAyşe Oner
Dec 1, 2004·Seminars in Interventional Radiology·Iftikhar Ahmad
Sep 5, 2009·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Farida HussainUNKNOWN British Association of Paediatric Nephrology
Apr 15, 1999·Current Opinion in Pediatrics·R W Chesney
Aug 19, 2015·Transplant International : Official Journal of the European Society for Organ Transplantation·Robert R RedfieldArjang Djamali
Aug 19, 2015·Clinical Biochemistry·Elena Crespo, Oriol Bestard
Aug 5, 2011·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·J A JacksonA D Kirk
Dec 14, 2018·Clinical Journal of the American Society of Nephrology : CJASN·Charles D VarnellJeffrey A Welge
Aug 3, 2006·Annals of Saudi Medicine·Abdulkarim Al Makdama, Samhar Al-Akash
Feb 20, 2021·Clinical and Experimental Nephrology·Yoshifumi UbaraUNKNOWN Committee of Practical Guide for Kidney Biopsy 2020
Feb 29, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·G FuianoV E Andreucci

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