Evaluation of percutaneous renal biopsy complications based on outcomes and indicators of the Nursing Outcomes Classification.
Magáli Costa Oliveira, Fernanda Da Silva Flores, Franciele Moreira Barbosa and 3 others
PMID 34231785WHAT IT FOUND
Nurses using structured outcome scores after kidney biopsy found no major complications in 13 adults.
Some scores changed, including hematuria, blood pressure, and physical well-being. Patients remained without major complications.
Key findings
01Four NOC indicators changed significantly during monitoring: hematuria, systolic blood pressure, diastolic blood pressure, and physical well-being.
02On the 5-point scale, where higher scores mean better status, hematuria scores before biopsy were significantly higher than at 8 hours after biopsy.
03Abdominal distension, skin and mucous membrane pallor, and reported pain did not differ significantly across evaluations, pointing to absence of complications after the procedure.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Only 13 patients were followed, so the study cannot show how common complications are or whether this monitoring changes outcomes. There was no comparison group, so score changes over time cannot be separated from normal variation, especially overnight blood pressure changes. Hematuria was not measured at every evaluation because some patients did not urinate, so that indicator was incomplete. Some indicators had no score variability and therefore could not be tested statistically. The 8-hour and 12-hour assessments were often at night or dawn, which may have affected blood pressure and comfort scores. The study excluded patients who needed 24-hour bed rest after more than four punctures or a 14G needle, and it excluded bedridden patients, so the findings do not apply to those higher-risk groups.
The easy way to misread this
Do not conclude that NOC monitoring prevents complications. The study followed only 13 patients, had no comparison group, and reported no major complications.