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    Patient experience of day case liver biopsy: Prospective audit

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    Authors
    Li, Ka Kit
    Mortimore, Gerri cc
    Jackson, Michelle
    Clarke, Dominic
    Freeman, Jan G.
    Austin, Andrew
    Affiliation
    Royal Derby Hospital
    Issue Date
    2006-10-01
    
    Metadata
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    Abstract
    Background: Percutaneous liver biopsy remains an important toolin the diagnosis and staging of chronic liver disease. There is oftenreluctance to use wider bore needles because of potentially highercomplication rates. There are no good prospective studies of thepatient experience and morbidity associated with the procedure.Aims: To describe the patient experience and compare two differ-ent biopsy needles. Patients and Methods: Data collected prospec-tively was available for 83 ultrasound-sited percutaneous biopsiesfor chronic liver disease. Subjects were regularly offered analgesiaand asked to rate pain on a visual analogue scale (0-10). Patientswere contacted 30 days post-biopsy. Results: Indications for bi-opsy were alcoholic liver disease (21%), NAFLD (21%), HCV(14%), HBV (8%), haemachromatosis (10%), autoimmune hepatitis(8%), other (22%). Data are expressed as mean (CI) and comparedusing t-test and ANOVA. Within the first 6 hours, 28 took parac-etamol only, 8 required codeine-based analgesia, and 1 receivedpethidine. There were no episodes of bradycardia, hypotension orpyrexia and only one re-admission (for recurrent ascites). Therewere no serious adverse events in either group. Conclusions: Themajority of patients experienced only mild discomfort after liverbiopsy and 45% did not require analgesia. A small difference inpain scores was detected at one hour but did not persist to sixhours and may reflect the greater use of lignocaine by one group.
    Citation
    Li, K. et al (2006) 'Patient experience of day case liver biopsy: Prospective audit', Hepatology, Vol. 44 Suppl. S1, p. 378A.
    Publisher
    Wiley
    Journal
    Hepatology
    URI
    http://hdl.handle.net/10545/621807
    Additional Links
    http://aasldpubs.onlinelibrary.wiley.com/hub/issue/10.1002/hep.v44:1%2B/
    Type
    Article
    Language
    en
    ISSN
    2709139
    Collections
    School of Nursing and Professional Practice

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