Faculty Collaboration Database

Hematuria in the burned child. J Pediatr Surg 1987 Oct;22(10):899-903

Date

10/01/1987

Pubmed ID

3681618

DOI

10.1016/s0022-3468(87)80584-5

Scopus ID

2-s2.0-0023628252 (requires institutional sign-in at Scopus site)   8 Citations

Abstract

Hematuria is a frequent complication in burn patients, but its clinical significance has not been reported. The incidence, etiologies, treatment, and outcome of hematuria in 1,785 burn patients treated from 1964 to 1983, have been reviewed. Ninety-one patients had hematuria (greater than 15 RBC/HPF with unspun urine). There were five main causes: urinary infections (UTI), 50 cases; renal calculi (RC), 14 cases, including 3% and 5% total body surface area burn patients; catheter trauma, 7 cases; renal vein thrombosis (RVT), 5 cases; and acute renal failure (ATN), 4 cases. Ten patients died in the UTI group, five with Candida as the infecting organism. No RC patients died, but two required surgical extraction of their stones. This incidence of RC may be due to large intake of dairy products and antacids and to prolonged immobilization. The catheter trauma group had no deaths and was the youngest group. One RVT patient was diagnosed clinically and successfully treated surgically. The other three were diagnosed at necropsy. The ATN patients all developed renal failure late as part of multiple organ system failure and all died. We conclude hematuria is a serious finding in burn patients and prompt diagnosis of its etiology and treatment are essential for maintaining renal function and patient survival.

Author List

Tweddell JS, Waymack JP, Warden GD, Law EJ, Jenkins M, Alexander JW

MESH terms used to index this publication - Major topics in bold

Acute Kidney Injury
Burns
Child
Female
Hematuria
Humans
Kidney Calculi
Male
Renal Veins
Thrombosis
Urinary Catheterization
Urinary Tract Infections