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Do "Screening" Coagulation Tests Predict Bleeding in Patients Undergoing Fiberoptic Bronchoscopy With Biopsy?

Elizabeth A. Kozak; Lisa K. Brath
Author and Funding Information

Affiliations: From the Medical College of Virginia; and the McGuire Veterans Administration Medical Center, Richmond, Va.,  From the McGuire Veterans Administration Medical Center, Richmond, Va.

Affiliations: From the Medical College of Virginia; and the McGuire Veterans Administration Medical Center, Richmond, Va.,  From the McGuire Veterans Administration Medical Center, Richmond, Va.


1994, by the American College of Chest Physicians


Chest. 1994;106(3):703-705. doi:10.1378/chest.106.3.703
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Published online

Abstract

Objective: To determine if preprocedure coagulation testing predicts bleeding in patients undergoing flexible fiberoptic bronchoscopy (FOB) with biopsy.

Design: Retrospective chart review.

Setting: Southeastern, urban Veteran Affairs Medical Center.

Measurements and main results: Two hundred seventy-four patient charts representing 305 FOB with biopsy were reviewed for clinical predictors of bleeding, prebronchoscopy laboratory abnormalities, and incidence of bleeding complications. Thirty-five patients bled, and 3 had abnormal results of coagulation studies. Normal results of coagulation studies and no clinical risk factors were noted in 68 percent of patients who bled.

Conclusion: Patients undergoing flexible FOB with biopsy do not benefit from preprocedure coagulation testing.


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