Literature DB >> 8082343

Do "screening" coagulation tests predict bleeding in patients undergoing fiberoptic bronchoscopy with biopsy?

E A Kozak1, L K Brath.   

Abstract

OBJECTIVE: To determine if preprocedure coagulation testing predicts bleeding in patients undergoing flexible fiberoptic bronchoscopy (FOB) with biopsy.
DESIGN: Retrospective chart review.
SETTING: Southeastern, urban Veteran Affairs Medical Center.
MEASUREMENTS AND MAIN RESULTS: Two hundred seventy-four patient charts representing 305 FOB with biopsy were reviewed for clinical predictors of bleeding, prebronchoscopy laboratory abnormalities, and incidence of bleeding complications. Thirty-five patients bled, and 3 had abnormal results of coagulation studies. Normal results of coagulation studies and no clinical risk factors were noted in 68 percent of patients who bled.
CONCLUSION: Patients undergoing flexible FOB with biopsy do not benefit from preprocedure coagulation testing.

Entities:  

Mesh:

Year:  1994        PMID: 8082343     DOI: 10.1378/chest.106.3.703

Source DB:  PubMed          Journal:  Chest        ISSN: 0012-3692            Impact factor:   9.410


  6 in total

1.  British Thoracic Society guidelines on diagnostic flexible bronchoscopy.

Authors: 
Journal:  Thorax       Date:  2001-03       Impact factor: 9.139

2.  Guidelines for radiologically guided lung biopsy.

Authors:  A Manhire; M Charig; C Clelland; F Gleeson; R Miller; H Moss; K Pointon; C Richardson; E Sawicka
Journal:  Thorax       Date:  2003-11       Impact factor: 9.139

Review 3.  Management of oral antiplatelet agents and anticoagulation therapy before bronchoscopy.

Authors:  Houssein A Youness; Jean Keddissi; Ilya Berim; Ahmed Awab
Journal:  J Thorac Dis       Date:  2017-09       Impact factor: 2.895

Review 4.  Iatrogenic bleeding during flexible bronchoscopy: risk factors, prophylactic measures and management.

Authors:  Maurizio Bernasconi; Coenraad F N Koegelenberg; Angela Koutsokera; Adam Ogna; Alessio Casutt; Laurent Nicod; Alban Lovis
Journal:  ERJ Open Res       Date:  2017-06-21

5.  Safety of endobronchial ultrasound-guided transbronchial needle aspiration in patients with lung cancer within a year after percutaneous coronary intervention.

Authors:  Hyun-Il Gil; Junsu Choe; Byeong-Ho Jeong; Sang-Won Um; Kyeongman Jeon; Joo-Yong Hahn; Hojoong Kim; O Jung Kwon; Yoon Soo Chang; Kyungjong Lee
Journal:  Thorac Cancer       Date:  2018-08-29       Impact factor: 3.500

6.  A novel approach to improving coagulation sample ordering in an emergency department.

Authors:  Emma Murphy; Sile MacGlone; Claire McGroarty
Journal:  BMJ Qual Improv Rep       Date:  2015-02-11
  6 in total

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