The effectiveness of post-procedure criteria for discharge following outpatient percutaneous nephrostomy

John Snidow, V. J. Harris, K. K. Kopecky, M. S. Johnson, S. O. Trerotola

Research output: Contribution to journalArticle

Abstract

Purpose : to evaluate the effectiveness of post-procedure discharge criteria by assessing the incidence of procedure complications that require delayed hospitalization following discharge of outpatients undergoing percutaneous nephrostomy. Patients and methods: the criteria used for outpatient discharge following percutaneous nephrostomy were the absence of shaking chills, hypotension, uncontrolled hypertension, and dyspnoea in an alert and cooperative patient who was accompanied by motivated and capable home care providers. Follow-up consisted of direct discussion with referring physicians, and review of medical charts, imaging films, and image-guided procedure reports for all (n = 23) outpatients who were discharged home following percutaneous nephrostomy at our institution between July 1991 and June 1994. The initial 17 patients were evaluated retrospectively whereas the last 6 patients were followed prospectively. Patient age ranged from 20 to 77 years with a mean of 49. Patients with benign disease (n = 12) and malignancy (n = 11) were treated. The spectrum of procedure complexity ranged from external percutaneous nephrostomy (n = 15) to external nephroureterostomy (n = 7) and internal nephroureteral stent placement (n = 1) with tube size ranging from 8 to 12 F. No patients had coagulopathy but five patients had infected urine at the time of the procedure. Results: none of the outpatients who were discharged after meeting post-procedure criteria died as a result of procedure complications or required later hospital admission for observation or treatment of peri-procedure complications. Conclusion : the results suggest that the post-procedure discharge criteria described herein are effective in maintaining the safety of the outpatient percutaneous nephrostomy process.

Original languageEnglish (US)
Pages (from-to)57-61
Number of pages5
JournalJournal of Interventional Radiology
Volume10
Issue number2
StatePublished - Jan 1 1995
Externally publishedYes

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Percutaneous Nephrostomy
Outpatients
Chills
Diagnostic Imaging
Home Care Services
Dyspnea
Hypotension
Stents
Hospitalization
Observation
Urine
Hypertension
Physicians
Safety

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

The effectiveness of post-procedure criteria for discharge following outpatient percutaneous nephrostomy. / Snidow, John; Harris, V. J.; Kopecky, K. K.; Johnson, M. S.; Trerotola, S. O.

In: Journal of Interventional Radiology, Vol. 10, No. 2, 01.01.1995, p. 57-61.

Research output: Contribution to journalArticle

Snidow, John ; Harris, V. J. ; Kopecky, K. K. ; Johnson, M. S. ; Trerotola, S. O. / The effectiveness of post-procedure criteria for discharge following outpatient percutaneous nephrostomy. In: Journal of Interventional Radiology. 1995 ; Vol. 10, No. 2. pp. 57-61.
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