Same-Day versus Overnight Observation after Outpatient Pediatric Percutaneous Liver Biopsy: A Retrospective Cohort Study
| العنوان: | Same-Day versus Overnight Observation after Outpatient Pediatric Percutaneous Liver Biopsy: A Retrospective Cohort Study |
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| المؤلفون: | Michael Wilsey, Svetlana Yuryevna Kozlovich, Sorany Son, Anthony A. Sochet |
| المصدر: | Pediatric Gastroenterology, Hepatology & Nutrition |
| بيانات النشر: | The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Pediatrics, medicine.medical_specialty, Complications, Cost effectiveness, Biopsy, Psychological intervention, Observation, 03 medical and health sciences, 0302 clinical medicine, 030225 pediatrics, medicine, Hepatology, medicine.diagnostic_test, business.industry, Incidence (epidemiology), Gastroenterology, Retrospective cohort study, Anthropometry, Liver, Pediatrics, Perinatology and Child Health, Percutaneous liver biopsy, 030211 gastroenterology & hepatology, Original Article, Safety, business, Risk assessment |
| الوصف: | Purpose Percutaneous liver biopsy (PLB), a diagnostic procedure to identify several hepatobiliary disorders, is considered safe with low incidence of associated complications. While postoperative monitoring guidelines are suggested for adults, selection of procedural recovery time for children remains at the discretion of individual operators. We aim to determine if differences exist in frequency of surgical complications, unplanned admissions, and healthcare cost for children undergoing outpatient PLB for cohorts with same-day vs. overnight observation. Methods We performed a retrospective cohort study in children 1 month to 17 years of age undergoing ultrasound-guided PLB from January 2009 to August 2017 at a tertiary care, pediatric referral center. Cohorts were defined by postprocedural observation duration: same-day (≤8 hours) vs. overnight observation. Outcomes included surgical complications, medical interventions, unscheduled hospitalization within 7 days, and total encounter costs. Results One hundred and twelve children met study criteria of which 18 (16.1%) were assigned to same-day observation. No differences were noted in demographics, anthropometrics, comorbidities, biopsy indications, or preoperative coagulation profiles. No major complications or acute hospitalizations after PLB were observed. Administration of analgesia and fluid boluses were isolated and given within 8 hours. Compared to overnight monitoring, same-day observation accrued less total costs (US $992 less per encounter). Conclusion Same-day observation after PLB in children appears well-tolerated with only minor interventions and complications observed within 8 hours of procedure. We recommend a targeted risk assessment prior to selection of observation duration. Same-day observation appears an appropriate recovery strategy in otherwise low-risk children undergoing outpatient PLB. |
| اللغة: | English |
| تدمد: | 2234-8840 2234-8646 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0122aeb6d1a98c648102be1454994ae2 http://europepmc.org/articles/PMC6629597 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....0122aeb6d1a98c648102be1454994ae2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22348840 22348646 |
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