Bone marrow biopsies: A hospitalist bedside procedure service 5-year experience
Sheila Swartz1, Joseph R Puetz2, Devin Madenberg2
1Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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%).
