Bone marrow biopsies: A hospitalist bedside procedure service 5-year experience. J Hosp Med 2023 Jan;18(1):15-20
Date
10/15/2022Pubmed ID
36238982DOI
10.1002/jhm.12983Scopus ID
2-s2.0-85139775496 (requires institutional sign-in at Scopus site) 1 CitationAbstract
BACKGROUND: Bone marrow aspiration and biopsies (BMAB) are a relatively frequent procedure needed in the inpatient setting, especially in a tertiary care center.
OBJECTIVE: Procedure-focused hospitalists can provide an excellent option for doing inpatient BMAB. Here we present five years of experience with a hospitalist bedside procedure service (BPS) performing BMAB.
DESIGN: In 2016, the BPS partnered with the oncology service to begin performing inpatient BMAB.
SETTINGS AND PARTICIPANTS: We evaluated internally collected data from the procedures performed by the BPS from 2016-2020.
INTERVENTION: From 2015-2016, faculty members on the BPS team were trained by the oncology department to do a BMAB, which was then offered as an inpatient procedure by the BPS from 2016-2021.
MAIN OUTCOME AND MEASURES: Total number of BMAB performed, success rates, bleeding risk profiles of patients, rate of trainee participation, and complication rates.
RESULTS: The BPS performed a total of 432 BMAB from 2016-2021. Forty-six (10.6%) were unsuccessful and required referral for CT guidance. Elevated bleeding risk was present in 88 (20.4%) of patients. Trainees assisted in 62 (14.4%) of the procedures.There was one complication (0.2%).
Author List
Swartz S, Puetz JR, Madenberg D, Voigt L, Cuzovic N, Bielecki M, Umpierrez De Reguero AAuthors
Joseph R. Puetz MD Assistant Professor in the Medicine department at Medical College of WisconsinSheila Swartz MD Associate Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
BiopsyBone Marrow
Hospitalists
Humans
Referral and Consultation
Tertiary Care Centers