Retrospective Cohort Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Nephrol. Dec 25, 2023; 12(5): 147-158
Published online Dec 25, 2023. doi: 10.5527/wjn.v12.i5.147
Bleeding complications after percutaneous kidney biopsies – nationwide experience from Brunei Darussalam
Chiao Yuen Lim, Sai Laung Khay
Chiao Yuen Lim, Sai Laung Khay, Department of Renal Services, RIPAS Hospital, Bandar Seri Begawan BA1712, Brunei Darussalam
Author contributions: Lim CY designed the research, contributed to the statistical analysis, literature review, writing and revision; Khay SL collected the data and contributed to the writing and revision; all authors approved the paper.
Institutional review board statement: This study has been approved by the Medical and Health Research and Ethics Committee, Ministry of Health, Brunei Darussalam. The reference number is MHREC/MOH/2023/1(1).
Conflict-of-interest statement: The authors have nothing to disclose.
Data sharing statement: All data is included in the manuscript and/or supporting information. The data supporting this study are available from the corresponding author on reasonable request.
STROBE statement: The authors have read the STROBE statement – checklist of items, and the manuscript was prepared and revised according to the STROBE statement – checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chiao Yuen Lim, FASN, FRCP, MBChB, MMed, MRCP, Consultant Physician-Scientist, Department of Renal Services, RIPAS Hospital, Jalan Putera Al-Muhtadee Billah, Bandar Seri Begawan BA1712, Brunei Darussalam. chiaoyuenlim905@gmail.com
Received: July 20, 2023
Peer-review started: July 20, 2023
First decision: September 4, 2023
Revised: September 11, 2023
Accepted: September 27, 2023
Article in press: September 27, 2023
Published online: December 25, 2023
Processing time: 155 Days and 8.5 Hours
Core Tip

Core Tip: This retrospective study in Brunei Darussalam examined kidney biopsies from 2013 to 2020 and identified key risk factors for post-biopsy bleeding complications. Notably, it revealed that the presence of microscopic hematuria is a significant, previously unrecognized risk factor for such complications. Other findings included the impact of low baseline hemoglobin levels and platelet counts on bleeding and transfusion risk. These insights can assist clinicians in identifying high-risk patients and improving post-biopsy monitoring and care. Overall, the study enhances our understanding of kidney biopsy outcomes and patient safety.