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Hematuria in the burned child
J S Tweddell1, J P Waymack, G D Warden
1New York University Hospital, New York.
Journal of Pediatric Surgery
|October 1, 1987
Summary
Hematuria in burn patients is common but serious. Prompt diagnosis and treatment of causes like urinary infections and renal calculi are vital for kidney function and survival.
Area of Science:
- Urology
- Nephrology
- Burn Care
Background:
- Hematuria is a frequent complication in burn patients.
- The clinical significance and outcomes of hematuria in this population are not well-reported.
Purpose of the Study:
- To review the incidence, etiologies, treatment, and outcomes of hematuria in burn patients.
- To determine the clinical significance of hematuria in burn patient management.
Main Methods:
- Retrospective review of 1,785 burn patients treated between 1964 and 1983.
- Analysis of 91 patients diagnosed with hematuria (defined as >15 RBC/HPF).
- Categorization of hematuria causes including urinary infections, renal calculi, catheter trauma, renal vein thrombosis, and acute renal failure.
Main Results:
- Urinary infections (UTI) were the most common cause (50 cases), with 10 deaths, 5 due to Candida.
- Renal calculi (RC) occurred in 14 patients, with no deaths but two requiring surgical intervention.
- Other causes included catheter trauma (7 cases), renal vein thrombosis (5 cases), and acute renal failure (4 cases).
- Acute renal failure patients all died due to multiple organ system failure.
Conclusions:
- Hematuria is a serious indicator in burn patients.
- Prompt diagnosis and treatment of hematuria's underlying cause are essential for preserving renal function and improving patient survival.