For outpatients undergoing a kidney biopsy, do you routinely recommend an overnight admission for continued hemoglobin monitoring?
Answer from: at Community Practice
If I perform an uneventful kidney biopsy in the morning on a patient with well-controlled BP and normal hemoglobin, I can observe the patient all day. If vitals are stable and the repeat hemoglobin at 8 hours is stable, I would discharge the patient. However, if I did the biopsy later in the day or ...
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Answer from: at Community Practice
I see the value in close monitoring if the patient is a high risk of bleeding and/or unstable from other conditions. However - these patients should probably not be scheduled for outpatient biopsies in the first place.
For my ambulatory, low-risk outpatients I do not recommend overnight admission o...
Answer from: at Community Practice
At our institution (The Ohio State University) and where I trained (Mount Sinai Hospital) where both IR and Nephrology perform outpatient renal biopsies, we do not routinely admit overnight. However, they are kept for monitoring for at least 4-6 hours and if the HgB is stable and the patient is asym...
Answer from: at Community Practice
I think it is a good idea to admit overnight after a Kidney biopsy as complications can occur many hours after a biopsy. The 2004 JASN paper found: "Complications were identified in 38 (42%) patients by ≤4 h, in 61 (67%) patients by ≤8 h, in 77 (85%) patients by ≤12 h, and in 81 (89%) ...
Answer from: at Academic Institution
Currently, at our hospital, we are not doing that. As far as I know, we have not had any adverse issues because of that. Having said that, I do think it is a good idea, as it is a safer thing to do. Significant bleeding events do occur after kidney biopsy. Usually, we are able to determine that with...