Hematocrit

An overview of hematocrit

A hematocrit test measures the proportion of red blood cells in your blood. Red blood cells carry oxygen throughout your body, and having too few or too many red blood cells can indicate certain diseases. The hematocrit test is a simple blood test that is often part of a complete blood count (CBC). It helps doctors make a diagnosis or monitor your response to a treatment. A lower than normal hematocrit can indicate an insufficient supply of healthy red blood cells, a large number of white blood cells due to long-term illness or a white blood cell disorder, or vitamin or mineral deficiencies. A higher than normal hematocrit can indicate dehydration, vitamin or mineral deficiencies, or recent or long-term blood loss.

What is hematocrit used for?

A hematocrit test measures the proportion of red blood cells in your blood. It is part of a complete blood count (CBC) and can help diagnose or monitor various conditions. A lower than normal hematocrit can indicate anemia, vitamin or mineral deficiencies, or blood loss, while a higher than normal hematocrit can indicate dehydration, vitamin or mineral deficiencies, or blood loss. The test is generally a simple blood test with no special preparation required. Results are reported as the percentage of your blood volume that's composed of red blood cells, and normal ranges vary by age, sex, and sometimes race.

How to prepare for hematocrit?

Patient preparation for an hematocrit test is minimal. There is no need for fasting or any specific dietary restrictions before the test. However, it's important to inform your healthcare provider about any medications you are taking and any other medical conditions you have, as these may affect the results of the test.

How is hematocrit conducted?

An hematocrit test is a simple blood test. The blood sample is generally drawn with a needle from a vein in your arm. You may feel some tenderness at the site, but you'll be able to resume normal activities afterward. No fasting or other preparations are needed before the test.

How are hematocrit results reported?

Hematocrit test results are reported as the percentage of your blood volume that is composed of red blood cells. The normal ranges for hematocrit vary substantially with race, age, and sex. For men, the normal range is typically considered to be 38.3 to 48.6 percent, and for women, it is generally between 35.5 to 44.9 percent. For children ages 17 and younger, the normal range varies depending on age and sex. However, it is essential to discuss your hematocrit test result with your doctor in the context of your symptoms and other diagnostic test results to get a better understanding of your overall health.

Understanding the report

Hematocrit test results are interpreted by comparing the percentage of red blood cells in your blood sample to the normal range. The normal range for adults is generally considered to be between 38.3% to 48.6% for men and 35.5% to 44.9% for women. For children aged 17 and younger, the normal range varies by age and sex. However, it's important to note that these ranges can vary depending on factors like race, age, and sex. Additionally, the accuracy of hematocrit test results can be affected by various factors, such as living at high altitudes, pregnancy, recent blood loss, blood transfusions, or severe dehydration. Your doctor will consider the results of your hematocrit test in conjunction with the symptoms you're experiencing and the results of any other diagnostic tests to determine the significance of your hematocrit test results. If the results provide conflicting or unexpected information, your doctor may want to repeat the test or perform additional tests to clarify the findings.

Limitations and Considerations

The hematocrit test has some limitations, including:

  1. Altitude: Living at a high altitude can affect the accuracy of hematocrit results due to the decreased oxygen availability in the blood.
  2. Pregnancy: During pregnancy, hematocrit levels can be slightly lower than normal, which may lead to false results.
  3. Recent blood loss: Significant recent blood loss or blood transfusion can alter hematocrit results.
  4. Dehydration: Severe dehydration can cause an increase in hematocrit levels due to a decrease in plasma volume.
  5. Test variability: The definition of normal hematocrit levels can vary between medical practices, and results may be influenced by factors such as age, sex, and health conditions.
  6. Other factors: Other factors, such as vitamin or mineral deficiencies, lung or heart disease, and certain medical conditions, can affect hematocrit levels and lead to inaccurate or misleading results. It's important to discuss your hematocrit test results with your doctor in the context of your overall health and any other diagnostic tests you've had. Your doctor can provide a more accurate interpretation of your results and determine whether further tests or treatments are necessary.