Prediction of hospitalization and blood transfusion requirement in patients with macroscopic hematuria

Abstract

Aim: It was aimed to find out simple parameters that can be used in the emergency triage and can discriminate patients requiring hospitalization or blood transfusion (BT) among those presenting with macroscopic hematuria (MH). Material and Method: Medical records of the patients presenting to the emergency department (ED) with MH were investigated retrospectively. The patients’ vital signs including pulse rate (PR), systolic blood pressure (SBP) and diastolic blood pressure, and laboratory test results including hemoglobin, platelet count and international normalized ratio were recorded. Shock index (SI) was calculated using SBP and PR of each patient. Results: Seventy seven patients were recruited into the study. PR and SI were found to significantly differ between the patients discharged from the ED and those who needed hospitalization. Hospitalized patients were seen to have higher PR values and SI compared to discharged ones. PR and SI were higher in patients requiring BT compared to those who did not require transfusion. Conclusion: Use of PR and SI in the emergency triage may be helpful while discriminating patients who need hospitalization or BT among those presenting with MH.

Keywords

• Macroscopic hematuria
• hospitalization
• blood transfusion
• shock index
• pulse rate

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