Gross hematuria in nonagenarians admitted to a urological ward: prevalence, predictors, and outcomes - Summary - MDSpire

Gross hematuria in nonagenarians admitted to a urological ward: prevalence, predictors, and outcomes

  • By

  • Andreas Banner

  • Magdalena Schneider

  • Stephan Madersbacher

  • Igor Grabovac

  • October 16, 2025

  • 0 min

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Objective:

To identify risk factors for gross hematuria (GH) in nonagenarians and assess their impact on hospital admissions and discharge outcomes, including survival and resource utilization.

Key Findings:
  • Almost half of nonagenarian admissions to urology were due to GH, highlighting the need for targeted interventions.
  • CSHA-CFS >6 was associated with worse survival outcomes, indicating frailty as a critical factor.
  • Antithrombotic therapy, indwelling catheters, and history of bladder cancer were significant predictors of GH, suggesting areas for clinical focus.
Interpretation:

Identifying predictors of GH in nonagenarians can enhance patient-centered care by informing targeted interventions and resource allocation in urological practice.

Limitations:
  • Retrospective design may introduce bias, including selection and information bias.
  • Data limited to a single institution may affect generalizability and applicability to broader populations.
Conclusion:

Understanding risk factors for GH in nonagenarians is crucial for improving clinical decision-making and patient outcomes, ultimately enhancing care for an aging population.

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