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Risk of complications of ultrasound-guided renal biopsy for adult and pediatric patients with systemic lupus erythematosus

机译：用于全身狼疮红斑狼疮的超声引导肾活检并发症的风险

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摘要

Objective The objective of this paper is to identify the risk of complications of real-time ultrasound-guided renal biopsy in adult and pediatric patients with systemic lupus erythematosus (SLE). Materials and methods This retrospective study examined outcomes of 296 renal biopsy procedures in 275 SLE patients. Imaging-confirmed symptomatic hematoma was regarded as a major complication when intervention (blood transfusion, angiographic embolization, or surgery) was required or as a minor complication otherwise. Clinical and laboratory data were compared between groups with or without complications after initial or subsequent renal biopsy. Binary logistic regressions were used to evaluate complication risk of initial renal biopsy. Results Overall complication rate of initial renal biopsy was 8.7% (major: 2.9%, minor: 5.8%). Three patients expired from pulmonary hemorrhage, thrombotic microangiopathy, and pneumonia. Pediatric SLE patients tended to have a higher rate of major complications (12.5%) than adult patients (2.3%). According to multivariable analysis results, elevated serum creatinine (SCr) level (OR 1.45; 95% CI 1.17–1.81 per mg/dl), prolonged prothrombin time (PT) (OR 2.2; 95% CI 1.05–4.62 per second), and thrombocytopenia (OR 4.3; 95% CI 1.56–11.9) increased overall complication risk of initial renal biopsy. Age? p ?=?0.01). Conclusions SLE patients, particularly patients under 18 years old or with elevated SCr level, prolonged PT, or thrombocytopenia, have an increased risk of complications after initial or subsequent renal biopsy.
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  • 来源
    《Lupus》 |2018年第5期|共9页
  • 作者

    Y S Sun; I T Sun; H K Wang; A H Yang; C Y Tsai; C J Huang; D F Huang; C C Lai;

  • 作者单位

    Division of Allergy Immunology and Rheumatology Department of Medicine 46615 Taipei Veterans;

    Department of Ophthalmology 63344 E-Da Hospital I-Shou University Kaohsiung Taiwan;

    Department of Radiology 46615 Taipei Veterans General Hospital Taipei City Taiwan;

    Faculty of Medicine National Yang-Ming University Taipei City Taiwan;

    Division of Allergy Immunology and Rheumatology Department of Medicine 46615 Taipei Veterans;

    Faculty of Medicine National Yang-Ming University Taipei City Taiwan;

    Division of Allergy Immunology and Rheumatology Department of Medicine 46615 Taipei Veterans;

    Division of Allergy Immunology and Rheumatology Department of Medicine 46615 Taipei Veterans;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 免疫性疾病;
  • 关键词

    Systemic lupus erythematosus; lupus nephritis; renal biopsy; kidney biopsy; complication;

    机译：Systemic Lupus红斑;狼疮肾炎;肾活检;肾活检;并发症;

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