Abstract：
BACKGROUND:Previous studies have shown that bleeding times have positive predictive values of only 5% for perioperative bleeding in unselected populations. Nevertheless, performing bleeding times prior to all renal biopsies is common in nephrology practice. METHODS:We report complications of 112 renal biopsies done at Walter Reed Army Medical Center (WRAMC) from 1996-99 performed without preceding bleeding times. Renal biopsies were done only on normotensive (<140/90) patients who had not recently been taking aspirin or non-steroidal anti-inflammatory agents, under real-time ultrasound guidance with automated 16 g (WRAMC) spring-loaded guns. High-risk patients (with serum creatinine > or = 3 mg/dl or creatinine clearance < or =30 cc/min by Cockroft-Gault formula, N=18, 16%) at WRAMC were treated with pre-renal biopsy estrogens or DDAVP. Factors were tested for their association with complications after renal biopsy using Chi Square testing for categorical variables and student's t-test for continuous variables. A stepwise logistic regression model was used to test for independent significance of factors. RESULTS:There were two cases each of gross hematuria and inadequate tissue (1.8% each). There were no transfusions or deaths. In univariate analysis, male gender and lower serum creatinine level at time of biopsy were significantly associated with increased risk of complications after biopsy. However, these factors were not significant in logistic regression analysis. CONCLUSION:This study suggests that the use of bleeding times does not significantly alter the major complication rates associated with percutaneous real-time ultrasound guided renal biopsy.
journal_name
J Nephroljournal_title
Journal of nephrologyauthors
Stiles KP,Hill C,LeBrun CJ,Reinmuth B,Yuan CM,Abbott KCsubject
Has Abstractpub_date
2001-07-01 00:00:00pages
275-9issue
4eissn
1121-8428issn
1724-6059journal_volume
14pub_type
杂志文章abstract：:The goal of palliative care is to achieve good quality of life for patients with chronic life-limiting illnesses, and their families, through assessment and management of physical, psychosocial and spiritual problems and needs. Patients with kidney diseases present a particular target of such care from the time of dia...
journal_title：Journal of nephrology
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更新日期：2008-03-01 00:00:00
abstract：:The term sarcopenia was first introduced in 1988 by Irwin Rosenberg to define a condition of muscle loss that occurs in the elderly. Since then, a broader definition comprising not only loss of muscle mass, but also loss of muscle strength and low physical performance due to ageing or other conditions, was developed a...
journal_title：Journal of nephrology
pub_type： 杂志文章,评审
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abstract：:The combination of hypomagnesemia and hypocalciuria is the phenotypic signature of two distinct genetic renal tubular transport disorders: Gitelman's syndrome and autosomal dominant isolated renal magnesium wasting. In the past 5 years the genetic defects underlying these disorders have been elucidated through positio...
journal_title：Journal of nephrology
pub_type： 杂志文章,评审
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更新日期：2003-03-01 00:00:00
abstract：BACKGROUND:In end-stage renal disease (ESRD) patients on hemodialysis (HD) there may be a link between oxidative stress, genomic damage and the tendency of peripheral lymphocytes to die by apoptosis. Our aim was to verify this hypothesis, and to ascertain whether the link, if present, could explain lymphopenia in uremi...
journal_title：Journal of nephrology
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更新日期：2006-09-01 00:00:00
abstract：BACKGROUND:Chronic kidney disease (CKD) progression is associated with significant comorbidities and costs. In Italy, limited evidence of healthcare resource consumption and costs is available. We therefore aimed to investigate the direct healthcare costs in charge to the Lombardy Regional Health Service (RHS) for the ...
journal_title：Journal of nephrology
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doi：10.1007/s40620-016-0291-8
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journal_title：Journal of nephrology
pub_type： 杂志文章
doi：10.1007/s40620-017-0461-3
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journal_title：Journal of nephrology
pub_type： 杂志文章,评审
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更新日期：2002-09-01 00:00:00
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journal_title：Journal of nephrology
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journal_title：Journal of nephrology
pub_type： 杂志文章,评审
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更新日期：2002-03-01 00:00:00
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journal_title：Journal of nephrology
pub_type： 杂志文章
doi：
更新日期：2000-11-01 00:00:00
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journal_title：Journal of nephrology
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doi：
更新日期：2010-03-01 00:00:00
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journal_title：Journal of nephrology
pub_type： 杂志文章
doi：
更新日期：2002-09-01 00:00:00
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journal_title：Journal of nephrology
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2008-11-01 00:00:00
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journal_title：Journal of nephrology
pub_type： 杂志文章,评审
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journal_title：Journal of nephrology
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更新日期：2008-09-01 00:00:00
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更新日期：2000-09-01 00:00:00
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journal_title：Journal of nephrology
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doi：
更新日期：1999-01-01 00:00:00
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journal_title：Journal of nephrology
pub_type： 杂志文章,评审
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更新日期：2008-05-01 00:00:00
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journal_title：Journal of nephrology
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doi：
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更新日期：2002-11-01 00:00:00
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journal_title：Journal of nephrology
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journal_title：Journal of nephrology
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更新日期：2002-07-01 00:00:00
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journal_title：Journal of nephrology
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