Most of the native renal biopsies (51 patients; 57.3%) were done for significant proteinuria; while the commonest indication of graft kidney biopsy was deranged renal function (5 patients; 50%). The average
waiting time for out-patient renal biopsy was 18.36 days. Renal biopsy specimen that includes 10–15 glomeruli is classified as optimal while specimen click here with 6–10 glomeruli are said to be sufficient. There were 75 (85.23%) native renal biopsies reached optimal level and 9 (10.23%) biopsies are sufficient. All (100%) patients underwent graft renal biopsy got adequate number (≥7 glomeruli) as defined by Banff criteria. One patient (1.01%) suffered from perinephric hematoma required blood transfusion and renal artery embolization, and one patient (1.01%) had prolonged gross hematuria treated conservatively. There was no non-renal tissue obtained in all biopsied specimens. No surgical intervention or mortality was resulted from closed renal biopsy procedure in the year 2012. Conclusion: Renal biopsy procedure is a useful procedure in nephrology. Though it carries certain risk of complications, the risk is not high from a single centre perspective. With the ultrasound guidance, the yield of renal biopsy both in native and graft kidney reached adequate level in most of the patients. The complication
rate and diagnostic yield in our renal center was comparable with international centre. SU SHU-FEN, LEE YUEH-TING, WANG NIAN-YUEH, LEE YEN-CHING, LAI CHUN-JEN, LEE CHIEN-TE, CHEN JIN-BOR Division of Nephrology, Kaohsiung Chang Gung selleck chemicals Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung Introduction: Depression is common in long-term hemodialysis (HD) patients. Depression had been demonstrated to be associated with poor nutrition, higher mortality and hospitalization etc in HD patients. Present study was to investigate the association of major
depression with cardiomegaly in HD patients. Methods: A total 175 regular HD patients was enrolled. Cardiomegaly was screened by costothoracic ratio (CTR) in chest x-ray examination and the cutoff value was 0.5. Depression was assessed with Beck Depression Inventory (BDI). The cutoff value for major depressive symptoms (MDS) was greater than 14 in Meloxicam BDI score. The data of demography, hemogram, biochemistry, dialysis adequacy index, comorbidities were compared in comparable groups. Results: Sixty-nine patients were stratified in cardiomegaly’s group, one hundred and six patients were in non-cardiomegaly group. The distribution of BDI scores were similar in both groups, BDI score: 0: 26% vs 25%; 1–13: 36% vs 44%, 14–19: 17% vs 9%, 20–28: 15% vs 15%, 29–63: 6% vs 7%. The prevalence of major depressive symptoms (BDI ≥ 14) was similar in both groups, 39% (n = 27) vs 31% (n = 33) (p = 0.276). In cardiomegaly group, subjects with MDS did not show higher CTR than those without MDS (0.56 ± 0.04 vs 0.56 ± 0.06, p = 0.866).