Bone marrow biopsies: A hospitalist bedside procedure service 5-year experience.

Abstract

Bone marrow aspiration and biopsies (BMAB) are a relatively frequent procedure needed in the inpatient setting, especially in a tertiary care center. 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. In 2016, the BPS partnered with the oncology service to begin performing inpatient BMAB. We evaluated internally collected data from the procedures performed by the BPS from 2016-2020. 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. Total number of BMAB performed, success rates, bleeding risk profiles of patients, rate of trainee participation, and complication rates. 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%).