Predictors of kidney biopsy complication among patients with systemic lupus erythematosus

作者: TK Chen , MM Estrella , DM Fine

DOI: 10.1177/0961203312439334

关键词:

摘要: Kidney biopsy is essential for the diagnosis and management of lupus nephritis. The risk bleeding complication, however, not defined in systemic erythematosus population. A retrospective cohort study was conducted to determine predictors major minor complications among patients with undergoing percutaneous ultrasound-guided kidney biopsy. Major included necessitating intervention, hypotension requiring vasopressors or higher level care death. Minor moderate large (≥ 4 cm largest diameter) perinephric hematoma, gross hematuria voiding difficulties. All were observed at least 23 h post-procedure. overall incidence 10.5% (2.7% major, 7.8% minor). Adjusted logistic regression showed that every 10,000 cells/mm3 decrease platelet count, any complication increased by 27% (odds ratio 1.27; 95% confidence intervals 1.06–1.51; p = 0.01) 8% (o...

参考文章(14)
Sayed Tabatabai, C. John Sperati, Mohamed G. Atta, Kashif Janjua, Christopher Roxbury, Gregory M. Lucas, Derek M. Fine, Predictors of complication after percutaneous ultrasound-guided kidney biopsy in HIV-infected individuals: possible role of hepatitis C and HIV co-infection. Clinical Journal of The American Society of Nephrology. ,vol. 4, pp. 1766- 1773 ,(2009) , 10.2215/CJN.03880609
Cyrus R. Mehta, Nitin R. Patel, Exact logistic regression: Theory and examples Statistics in Medicine. ,vol. 14, pp. 2143- 2160 ,(1995) , 10.1002/SIM.4780141908
William L Whittier, Stephen M Korbet, Renal biopsy: update. Current Opinion in Nephrology and Hypertension. ,vol. 13, pp. 661- 665 ,(2004) , 10.1097/00041552-200411000-00013
Andrew S Levey, Juan P Bosch, Julia Breyer Lewis, Tom Greene, Nancy Rogers, David Roth, Modification of Diet in Renal Disease Study Group*, A More Accurate Method To Estimate Glomerular Filtration Rate from Serum Creatinine: A New Prediction Equation Annals of Internal Medicine. ,vol. 130, pp. 461- 470 ,(1999) , 10.7326/0003-4819-130-6-199903160-00002
Andrew S Levey, Josef Coresh, Tom Greene, Lesley A Stevens, Yaping Zhang, Stephen Hendriksen, John W Kusek, Frederick Van Lente, Chronic Kidney Disease Epidemiology Collaboration*, None, Using Standardized Serum Creatinine Values in the Modification of Diet in Renal Disease Study Equation for Estimating Glomerular Filtration Rate Annals of Internal Medicine. ,vol. 145, pp. 247- 254 ,(2006) , 10.7326/0003-4819-145-4-200608150-00004
J P Grande, J E Balow, Renal biopsy in lupus nephritis Lupus. ,vol. 7, pp. 611- 617 ,(1998) , 10.1191/096120398678920730
Gabriella Moroni, Silvana Quaglini, Massimo Maccario, Giovanni Banfi, Claudio Ponticelli, “Nephritic flares” are predictors of bad long-term renal outcome in lupus nephritis Kidney International. ,vol. 50, pp. 2047- 2053 ,(1996) , 10.1038/KI.1996.528
Carlo Manno, Giovanni F.M. Strippoli, Loredana Arnesano, Carmen Bonifati, Nicla Campobasso, Loreto Gesualdo, Francesco P. Schena, Predictors of bleeding complications in percutaneous ultrasound-guided renal biopsy Kidney International. ,vol. 66, pp. 1570- 1577 ,(2004) , 10.1111/J.1523-1755.2004.00922.X