Hematocrit

  • Medical Author:
    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

  • Medical Editor: Melissa Conrad Stöppler, MD
    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

A nurse puts a blood sample into an automated machine for hematocrit measurements.

What is the hematocrit?

The hematocrit is the proportion, by volume, of the blood that consists of red blood cells. The hematocrit (hct) is expressed as a percentage. For example, a hematocrit of 25% means that there are 25 milliliters of red blood cells in 100 milliliters of blood.

How is the hematocrit measured?

The hematocrit is typically measured from a blood sample by an automated machine that makes several other measurements of the blood at the same time. Most of these machines in fact do not directly measure the hematocrit, but instead calculate it based on the determination of the amount of hemoglobin and the average volume of the red blood cells. The hematocrit can also be determined by a manual method using a centrifuge. When a tube of blood is centrifuged, the red cells will be packed into the bottom of the tube. The proportion of red cells to the total blood volume can then be visually measured.

Picture of Red Blood Cells
Picture of Red Blood Cells
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Red blood cell picture

Hematocrit (Hct) Levels

This is the ratio of the volume of red cells to the volume of whole blood. Normal range for hematocrit is different between the sexes and is approximately 45% to 52% for men and 37% to 48% for women. This is usually measured by spinning down a sample of blood in a test tube, which causes the red blood cells to pack at the bottom of the tube.

A woman has her blood drawn.

What is a normal hematocrit?

The normal ranges for hematocrit are depend on the age and, after adolescence, the sex of the individual. The normal ranges are:

  • Newborns: 55% to 68%
  • One (1) week of age: 47% to 65%
  • One (1) month of age: 37% to 49%
  • Three (3) months of age: 30% to 36%
  • One (1) year of age: 29% to 41%
  • Ten (10) years of age: 36% to 40%
  • Adult males: 42% to 54%
  • Adult women: 38% to 46%

These values may vary slightly among different laboratories.

A stethoscope and the word anemia.

What does a low hematocrit mean?

A person who has a low hematocrit is referred to as being anemic. There are many reasons for anemia. Some of the more common reasons are loss of blood (traumatic injury, surgery, bleeding, and colon cancer), nutritional deficiency (iron, vitamin B12, folate), bone marrow problems (replacement of bone marrow by cancer, suppression by chemotherapy drugs, kidney failure), and abnormal hemoglobin (sickle cell anemia).

A man getting IV fluids.

What does a high hematocrit mean?

Higher than normal hematocrit levels represent abnormally elevated red blood cell counts. High hematocrits can be seen in people living at high altitudes and in chronic smokers. Dehydration produces a falsely high hematocrit that disappears when proper fluid balance is restored. Some other infrequent causes of an elevated hematocrit are lung disease, certain tumors, a disorder of the bone marrow known as polycythemia rubra Vera, and abuse of the drug erythropoietin (Epogen) by athletes for "blood doping" purposes.

Reviewed on 11/16/2017
References
REFERENCE:

Tintinalli J, et al. "Tintinalli's Emergency Medicine: a Comprehensive Study Guide." Mcgraw-Hill Education/Medical. 8th edition. 2015 IMAGES:

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