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Hematocrit

Also known as: Hct, Crit, Packed cell volume (PCV)
Formal name: Hematocrit
Related tests: Complete blood count
The Test
 
How is it used?
When is it ordered?
What does the test result mean?
Is there anything else I should know?

How is it used?
This test is used to evaluate:

  • anemia,
  • polycythemia,
  • response to treatment of anemia or polycythemias,
  • dehydration,
  • blood transfusion decisions for severe symptomatic anemias, and
  • the effectiveness of those transfusions.



When is it ordered?
The hematocrit is normally ordered as a part of the complete blood count (CBC). It is also repeated at regular intervals for many conditions, including:

  • the diagnosis of anemia and polycythemia,
  • the monitoring of treatment for anemia,
  • recovery from dehydration, and
  • monitoring of ongoing bleeding to check its severity.



What does the test result mean?
NOTE: This test has no single number that identifies an abnormal result. Your lab report (see a sample report) should include a range of numbers (reference range) that identifies what is expected for you based on your age, sex, and the method used in that laboratory. You can find more information about expected results at Reference Ranges and What They Mean. Lab Tests Online strongly recommends that you discuss the meaning of your test results with your doctor.

Decreased hematocrit indicates anemia, such as that caused by iron deficiency or other deficiencies. Further testing may be necessary to determine the exact cause of the anemia.

Other conditions that can result in a low hematocrit include vitamin or mineral deficiencies, recent bleeding, cirrhosis of the liver, and malignancies.

The most common cause of increased hematocrit is dehydration, and with adequate fluid intake, the hematocrit returns to normal. However, it may reflect a condition called polycythemia vera—that is, when a person has more than the normal number of red blood cells. This can be due to a problem with the bone marrow or, more commonly, as compensation for inadequate lung function (the bone marrow manufactures more red blood cells in order to carry enough oxygen throughout your body). Anytime a hematocrit is persistently high, the cause should be determined in consultation with a doctor.

With regard to transfusions, this is normally not considered for otherwise healthy persons as long as the hemoglobin level is above 8 grams per deciliter or the hematocrit is above 24%.



Is there anything else I should know?
Pregnancy usually causes slightly decreased hematocrit values due to extra fluid in the blood.

Living at high altitudes causes increased hematocrit values—this is your body’s response to the decreased oxygen available at these heights.






This article was last reviewed on February 5, 2008.
This page was last modified on April 8, 2009.
The review date indicates when the article was last reviewed from beginning to end to ensure that it reflects the most current science. A review may not require any modifications to the article, so the two dates may not always agree.
The modified date indicates that one or more changes were made to the page. Such changes may or may not result from a full review of the page, so the two dates may not always agree.
 
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