Should bleeding tendency deter abdominal paracentesis?

C. H. Lin, F. Y. Shih, M. H.M. Ma, W. C. Chiang, C. W. Yang, P. C.I. Ko

研究成果: Article

41 引文 (Scopus)

摘要

Background and aims: This study was conducted to evaluate the complications and bleeding associated with either thrombocytopoenia or prolongation of prothrombin time for ultrasound-guided abdominal paracentesis in the emergency department. Study design and patients: In an emergency department of a tertiary centre, patients receiving ultrasound-guided abdominal paracentesis by the emergency physicians were prospectively enrolled. Patient characteristics, the preprocedure international normalised ratio for prothrombin time and the platelet count, and the procedure-related complications were collected and analysed. Results: For a 2-year study period, a total of 410 abdominal paracenteses in 163 patients were investigated. The preprocedure international normalised ratio for prothrombin time was more than 1.5 in 142 paracenteses; the preprocedure platelet count was less than 50 × 103 μL-1 in 55 paracenteses. Only two out of 410 procedures (0.5%, 95% confidence interval = 0.1-1.8%) were associated with minor complications of cutaneous bleeding in the same patient (0.6%, 95% confidence interval = 0.1-3.4%) at different visits. There was no significant procedure-related bleeding or complications even in patients with marked thrombocytopoenia or prolongation in international normalised ratio. Conclusions: Bleeding complication of ultrasound-guided abdominal paracentesis is uncommon and appears to be very mild, regardless of preprocedure international normalised ratio or platelet count. Routine correction of prolonged international normalised ratio or thrombocytopoenia before abdominal paracentesis may not be necessary.

原文English
頁(從 - 到)946-951
頁數6
期刊Digestive and Liver Disease
37
發行號12
DOIs
出版狀態Published - 2005 十二月 1

指紋

Paracentesis
International Normalized Ratio
Hemorrhage
Prothrombin Time
Platelet Count
Hospital Emergency Service
Confidence Intervals
Emergencies
Physicians
Skin

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

引用此文

Lin, C. H., Shih, F. Y., Ma, M. H. M., Chiang, W. C., Yang, C. W., & Ko, P. C. I. (2005). Should bleeding tendency deter abdominal paracentesis? Digestive and Liver Disease, 37(12), 946-951. https://doi.org/10.1016/j.dld.2005.07.009
Lin, C. H. ; Shih, F. Y. ; Ma, M. H.M. ; Chiang, W. C. ; Yang, C. W. ; Ko, P. C.I. / Should bleeding tendency deter abdominal paracentesis?. 於: Digestive and Liver Disease. 2005 ; 卷 37, 編號 12. 頁 946-951.
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abstract = "Background and aims: This study was conducted to evaluate the complications and bleeding associated with either thrombocytopoenia or prolongation of prothrombin time for ultrasound-guided abdominal paracentesis in the emergency department. Study design and patients: In an emergency department of a tertiary centre, patients receiving ultrasound-guided abdominal paracentesis by the emergency physicians were prospectively enrolled. Patient characteristics, the preprocedure international normalised ratio for prothrombin time and the platelet count, and the procedure-related complications were collected and analysed. Results: For a 2-year study period, a total of 410 abdominal paracenteses in 163 patients were investigated. The preprocedure international normalised ratio for prothrombin time was more than 1.5 in 142 paracenteses; the preprocedure platelet count was less than 50 × 103 μL-1 in 55 paracenteses. Only two out of 410 procedures (0.5{\%}, 95{\%} confidence interval = 0.1-1.8{\%}) were associated with minor complications of cutaneous bleeding in the same patient (0.6{\%}, 95{\%} confidence interval = 0.1-3.4{\%}) at different visits. There was no significant procedure-related bleeding or complications even in patients with marked thrombocytopoenia or prolongation in international normalised ratio. Conclusions: Bleeding complication of ultrasound-guided abdominal paracentesis is uncommon and appears to be very mild, regardless of preprocedure international normalised ratio or platelet count. Routine correction of prolonged international normalised ratio or thrombocytopoenia before abdominal paracentesis may not be necessary.",
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Lin, CH, Shih, FY, Ma, MHM, Chiang, WC, Yang, CW & Ko, PCI 2005, 'Should bleeding tendency deter abdominal paracentesis?', Digestive and Liver Disease, 卷 37, 編號 12, 頁 946-951. https://doi.org/10.1016/j.dld.2005.07.009

Should bleeding tendency deter abdominal paracentesis? / Lin, C. H.; Shih, F. Y.; Ma, M. H.M.; Chiang, W. C.; Yang, C. W.; Ko, P. C.I.

於: Digestive and Liver Disease, 卷 37, 編號 12, 01.12.2005, p. 946-951.

研究成果: Article

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T1 - Should bleeding tendency deter abdominal paracentesis?

AU - Lin, C. H.

AU - Shih, F. Y.

AU - Ma, M. H.M.

AU - Chiang, W. C.

AU - Yang, C. W.

AU - Ko, P. C.I.

PY - 2005/12/1

Y1 - 2005/12/1

N2 - Background and aims: This study was conducted to evaluate the complications and bleeding associated with either thrombocytopoenia or prolongation of prothrombin time for ultrasound-guided abdominal paracentesis in the emergency department. Study design and patients: In an emergency department of a tertiary centre, patients receiving ultrasound-guided abdominal paracentesis by the emergency physicians were prospectively enrolled. Patient characteristics, the preprocedure international normalised ratio for prothrombin time and the platelet count, and the procedure-related complications were collected and analysed. Results: For a 2-year study period, a total of 410 abdominal paracenteses in 163 patients were investigated. The preprocedure international normalised ratio for prothrombin time was more than 1.5 in 142 paracenteses; the preprocedure platelet count was less than 50 × 103 μL-1 in 55 paracenteses. Only two out of 410 procedures (0.5%, 95% confidence interval = 0.1-1.8%) were associated with minor complications of cutaneous bleeding in the same patient (0.6%, 95% confidence interval = 0.1-3.4%) at different visits. There was no significant procedure-related bleeding or complications even in patients with marked thrombocytopoenia or prolongation in international normalised ratio. Conclusions: Bleeding complication of ultrasound-guided abdominal paracentesis is uncommon and appears to be very mild, regardless of preprocedure international normalised ratio or platelet count. Routine correction of prolonged international normalised ratio or thrombocytopoenia before abdominal paracentesis may not be necessary.

AB - Background and aims: This study was conducted to evaluate the complications and bleeding associated with either thrombocytopoenia or prolongation of prothrombin time for ultrasound-guided abdominal paracentesis in the emergency department. Study design and patients: In an emergency department of a tertiary centre, patients receiving ultrasound-guided abdominal paracentesis by the emergency physicians were prospectively enrolled. Patient characteristics, the preprocedure international normalised ratio for prothrombin time and the platelet count, and the procedure-related complications were collected and analysed. Results: For a 2-year study period, a total of 410 abdominal paracenteses in 163 patients were investigated. The preprocedure international normalised ratio for prothrombin time was more than 1.5 in 142 paracenteses; the preprocedure platelet count was less than 50 × 103 μL-1 in 55 paracenteses. Only two out of 410 procedures (0.5%, 95% confidence interval = 0.1-1.8%) were associated with minor complications of cutaneous bleeding in the same patient (0.6%, 95% confidence interval = 0.1-3.4%) at different visits. There was no significant procedure-related bleeding or complications even in patients with marked thrombocytopoenia or prolongation in international normalised ratio. Conclusions: Bleeding complication of ultrasound-guided abdominal paracentesis is uncommon and appears to be very mild, regardless of preprocedure international normalised ratio or platelet count. Routine correction of prolonged international normalised ratio or thrombocytopoenia before abdominal paracentesis may not be necessary.

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