In-patient management of visible haematuria: a common urological emergency with a high mortality
BAUS ePoster online library. Pavithran A. 06/21/21; 319123; p8-5
Disclosure(s): Nothing to disclose.
Dr. Aswathy Pavithran
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Abstract
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Introduction
Visible haematuria (VH) is a common urological presentation often requiring overnight hospital admissions. There has been a lack of consensus on managing this urological emergency as it differs from hospital to hospital. Our study's objective was to review the in-hospital management patterns and 30-day outcomes of patients admitted with VH over a period of 1-year in a single institution, aiming to clarify management for such cases in the future.
Material and methods
A retrospective cohort study was conducted on all patients admitted with VH in a single-center over 1-year, excluding patients who did not require an overnight stay. A case note review was performed for patient demographics, VH investigations, and management.
Results
A total of 120 patients (demographic data as reported in Table.1) were admitted with VH over a span of 1-year. 62% (74/120) required bladder irrigation for a mean duration of 3 days (1-16days). 10% (12/120) required an emergency cystoscopy washout to manage the bleeding, malignancy was recorded in 42% (5/12) cases. Over 8% (10/120) patients discharged had unplanned readmissions within 30 days. The 1-year mortality for this cohort was 23% (28/120) of which 21% (6/28) died within 30 days from discharge.
Conclusion
In-patient VH is a commonly encountered urological emergency that affects a vulnerable patient cohort. There is no specific pathway guiding the in-patient management of VH, therefore future research is required to produce standardized pathways for managing this condition, considering the high-risk patient cohort, the long length of stay, and the high one-year mortality rate.
Visible haematuria (VH) is a common urological presentation often requiring overnight hospital admissions. There has been a lack of consensus on managing this urological emergency as it differs from hospital to hospital. Our study's objective was to review the in-hospital management patterns and 30-day outcomes of patients admitted with VH over a period of 1-year in a single institution, aiming to clarify management for such cases in the future.
Material and methods
A retrospective cohort study was conducted on all patients admitted with VH in a single-center over 1-year, excluding patients who did not require an overnight stay. A case note review was performed for patient demographics, VH investigations, and management.
Results
A total of 120 patients (demographic data as reported in Table.1) were admitted with VH over a span of 1-year. 62% (74/120) required bladder irrigation for a mean duration of 3 days (1-16days). 10% (12/120) required an emergency cystoscopy washout to manage the bleeding, malignancy was recorded in 42% (5/12) cases. Over 8% (10/120) patients discharged had unplanned readmissions within 30 days. The 1-year mortality for this cohort was 23% (28/120) of which 21% (6/28) died within 30 days from discharge.
Conclusion
In-patient VH is a commonly encountered urological emergency that affects a vulnerable patient cohort. There is no specific pathway guiding the in-patient management of VH, therefore future research is required to produce standardized pathways for managing this condition, considering the high-risk patient cohort, the long length of stay, and the high one-year mortality rate.
Introduction
Visible haematuria (VH) is a common urological presentation often requiring overnight hospital admissions. There has been a lack of consensus on managing this urological emergency as it differs from hospital to hospital. Our study's objective was to review the in-hospital management patterns and 30-day outcomes of patients admitted with VH over a period of 1-year in a single institution, aiming to clarify management for such cases in the future.
Material and methods
A retrospective cohort study was conducted on all patients admitted with VH in a single-center over 1-year, excluding patients who did not require an overnight stay. A case note review was performed for patient demographics, VH investigations, and management.
Results
A total of 120 patients (demographic data as reported in Table.1) were admitted with VH over a span of 1-year. 62% (74/120) required bladder irrigation for a mean duration of 3 days (1-16days). 10% (12/120) required an emergency cystoscopy washout to manage the bleeding, malignancy was recorded in 42% (5/12) cases. Over 8% (10/120) patients discharged had unplanned readmissions within 30 days. The 1-year mortality for this cohort was 23% (28/120) of which 21% (6/28) died within 30 days from discharge.
Conclusion
In-patient VH is a commonly encountered urological emergency that affects a vulnerable patient cohort. There is no specific pathway guiding the in-patient management of VH, therefore future research is required to produce standardized pathways for managing this condition, considering the high-risk patient cohort, the long length of stay, and the high one-year mortality rate.
Visible haematuria (VH) is a common urological presentation often requiring overnight hospital admissions. There has been a lack of consensus on managing this urological emergency as it differs from hospital to hospital. Our study's objective was to review the in-hospital management patterns and 30-day outcomes of patients admitted with VH over a period of 1-year in a single institution, aiming to clarify management for such cases in the future.
Material and methods
A retrospective cohort study was conducted on all patients admitted with VH in a single-center over 1-year, excluding patients who did not require an overnight stay. A case note review was performed for patient demographics, VH investigations, and management.
Results
A total of 120 patients (demographic data as reported in Table.1) were admitted with VH over a span of 1-year. 62% (74/120) required bladder irrigation for a mean duration of 3 days (1-16days). 10% (12/120) required an emergency cystoscopy washout to manage the bleeding, malignancy was recorded in 42% (5/12) cases. Over 8% (10/120) patients discharged had unplanned readmissions within 30 days. The 1-year mortality for this cohort was 23% (28/120) of which 21% (6/28) died within 30 days from discharge.
Conclusion
In-patient VH is a commonly encountered urological emergency that affects a vulnerable patient cohort. There is no specific pathway guiding the in-patient management of VH, therefore future research is required to produce standardized pathways for managing this condition, considering the high-risk patient cohort, the long length of stay, and the high one-year mortality rate.
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