Predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy

Objective To perform a prospective study to determine the risk factors associated with perirenal haematoma development after percutaneous renal biopsy (PRB). Methods This multivariate prospective study collected demographic and clinical data from all consecutive adult patients that underwent real-ti...

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Autores principales:	Shihao Xu, Bing Xiong, Saifeng Lin, Qiao Li, Lei Wang, Wenjie Zhao
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/81e79220561c453caec58ab8303f295b
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spelling	oai:doaj.org-article:81e79220561c453caec58ab8303f295b2021-11-18T01:03:38ZPredictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy1473-230010.1177/03000605211058377https://doaj.org/article/81e79220561c453caec58ab8303f295b2021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211058377https://doaj.org/toc/1473-2300Objective To perform a prospective study to determine the risk factors associated with perirenal haematoma development after percutaneous renal biopsy (PRB). Methods This multivariate prospective study collected demographic and clinical data from all consecutive adult patients that underwent real-time ultrasound-guided PRB of native kidneys. All biopsies were performed by two well-trained ultrasound physicians using 16G biopsy needles. Routine renal ultrasounds were performed within 12–24 h after biopsies in order to observe post-biopsy perirenal haematoma formation. Patients were stratified based on the occurrence of post-biopsy haematoma development. Results This prospective study enrolled 218 patients and stratified them into a haematoma group ( n = 126) and a non-haematoma group ( n = 92). Binary logistic regression analysis identified female patients (odds ratio [OR] 1.990; 95% confidence interval [CI] 1.125, 3.521), patients with a body mass index (BMI) ≥28 kg/m 2 (OR 2.660; 95% CI 1.097, 6.449) and patients with immediate post-biopsy active bleeding (IPAB) (OR 2.572; 95% CI 1.422, 4.655) as being more likely to have perirenal haematoma after real-time ultrasound guided PRB of native kidneys. Conclusion Female sex, a BMI ≥28 kg/m 2 and IPAB were risk factors for perirenal haematoma after real-time ultrasound-guided PRB of native kidneys.Shihao XuBing XiongSaifeng LinQiao LiLei WangWenjie ZhaoSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Shihao Xu Bing Xiong Saifeng Lin Qiao Li Lei Wang Wenjie Zhao Predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy
description	Objective To perform a prospective study to determine the risk factors associated with perirenal haematoma development after percutaneous renal biopsy (PRB). Methods This multivariate prospective study collected demographic and clinical data from all consecutive adult patients that underwent real-time ultrasound-guided PRB of native kidneys. All biopsies were performed by two well-trained ultrasound physicians using 16G biopsy needles. Routine renal ultrasounds were performed within 12–24 h after biopsies in order to observe post-biopsy perirenal haematoma formation. Patients were stratified based on the occurrence of post-biopsy haematoma development. Results This prospective study enrolled 218 patients and stratified them into a haematoma group ( n = 126) and a non-haematoma group ( n = 92). Binary logistic regression analysis identified female patients (odds ratio [OR] 1.990; 95% confidence interval [CI] 1.125, 3.521), patients with a body mass index (BMI) ≥28 kg/m 2 (OR 2.660; 95% CI 1.097, 6.449) and patients with immediate post-biopsy active bleeding (IPAB) (OR 2.572; 95% CI 1.422, 4.655) as being more likely to have perirenal haematoma after real-time ultrasound guided PRB of native kidneys. Conclusion Female sex, a BMI ≥28 kg/m 2 and IPAB were risk factors for perirenal haematoma after real-time ultrasound-guided PRB of native kidneys.
format	article
author	Shihao Xu Bing Xiong Saifeng Lin Qiao Li Lei Wang Wenjie Zhao
author_facet	Shihao Xu Bing Xiong Saifeng Lin Qiao Li Lei Wang Wenjie Zhao
author_sort	Shihao Xu
title	Predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy
title_short	Predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy
title_full	Predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy
title_fullStr	Predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy
title_full_unstemmed	Predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy
title_sort	predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/81e79220561c453caec58ab8303f295b
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Predictors of perirenal haematoma post-percutaneous ultrasound-guided renal biopsy

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