Incidence and causes of hyperbilirubinaemia in a hospital population: with particular reference to blood transfusion.
We surveyed a large hospital population of patients to establish the incidence and causes of hyperbilirubinaemia. In a review of 6890 patients, we found an overall incidence of hyperbilirubinaemia of 9%. We reviewed the case histories of 175 patients with hyperbilirubinaemia to analyse the causes and contributory factors. In 22% of patients with hyperbilirubinaemia, hepatobiliary disease was the sole cause and was a contributory cause in another 7%. Disorders of oxygen transport were the single most common cause of hyperbilirubinaemia, being the sole cause in 38% of patients and a contributing cause in a further 9%. Blood transfusion was the sole cause of elevation in bilirubin level in only three patients (1.7%), but was a very significant contributing factor in a further 18%. It is likely that Gilbert's syndrome was a contributing factor in some cases but, as there is no definitive test for diagnosis, clear identification was not possible.
D001315:Australia; D001663:Bilirubin / Q000097:blood; D005878:Gilbert Disease / Q000150:complications; D006406:Hematoma / Q000150:complications; D006461:Hemolysis; D006760:Hospitalization; D006801:Humans; D006932:Hyperbilirubinemia / Q000453:epidemiology* / Q000209:etiology; D000860:Hypoxia / Q000150:complications; D008107:Liver Diseases / Q000150:complications; D011183:Postoperative Complications; D065227:Transfusion Reaction
D001663:Bilirubin