Evidence map›Paper›PMID 39944587›Full record

ArticleTranslational gastroenterology and hepatology2025

Unravelling risk factors for delayed bleeding following ultrasonography-guided liver biopsy: a retrospective analysis.

Tao Jiang, Qunying Li, Ju Li, Tianan Jiang

Abstract read
In one paragraph

Article in Translational gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Tao Jiang *Department of Ultrasonography, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Qunying Li *Department of Ultrasonography, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Ju LiDepartment of Ultrasonography, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Tianan JiangDepartment of Ultrasonography, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Percutaneous liver puncture remains the gold standard for diagnosis of liver lesions, though image-guided techniques reduce the incidence of complications, there remains a risk of severe delayed bleeding. This study aimed to analyze the risk factors associated with delayed bleeding complications after ultrasonography-guided liver biopsy. Methods: In this retrospective study, we enrolled a total of 642 patients who underwent ultrasonography-guided percutaneous liver biopsy at our institution between January 2022 and December 2023. Data on patient characteristics, laboratory results, radiographic findings, bleeding complications, and treatments were extracted from the electronic medical records (EMR) system of the hospital. This study aimed to identify the differences in clinical characteristics between post-biopsy bleeding and non-bleeding groups as well as between early and delayed post-biopsy bleeding groups. Propensity score matching (PSM) algorithms were employed to mitigate the impact of sample size on the results. Results: After exclusion screening, a total of 627 patients were included in this study. Of these, 233 (37.16%) were men and 394 (62.84%) were women. The primary reason for liver puncture was liver transplantation (45.29%). Eleven cases of post-biopsy bleeding were observed, where eight were mild (72.73% of total cases exhibiting bleeding and 1.27% of total punctures) and three were serious (27.27% of total cases displaying bleeding and 0.48% of total punctures). Serious bleeding was delayed in all patients exhibiting bleeding. No bleeding-related risk factors were identified in either the overall cohort or the PSM cohort. Nevertheless, our findings indicate that patients with delayed bleeding exhibited lower platelet counts and were more likely to present with hydrothorax or ascites. Conclusions: There were no statistically significant differences in any of the baseline characteristics between patients with and without post-biopsy bleeding. However, when patients presented with platelets below the normal range in conjunction with hydrothorax or ascites, there was an increased risk of delayed bleeding.

Indexed as

delayed bleedingLiver biopsypost-biopsy bleedingultrasonography

Identifiers

PMID39944587
PMCPMC11811566

What Socratic holds

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