Document Detail


Diagnostic utility of urine protein-to-creatinine ratio for identifying proteinuria in pregnancy.
MedLine Citation:
PMID:  23020712     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate urine protein-to-creatinine ratio (UPC) alone and with uric acid and clinical factors to predict or exclude significant proteinuria in preeclampsia evaluations.
METHODS: Retrospective cohort study patients undergoing evaluation for preeclampsia. Greater than 300 mg of protein in a 24-h collection was the gold standard defining proteinuria against which UPC performance was measured. Bivariable, multivariable, and Receiver Operating Characteristic Curve (ROC) analyses were performed. Sensitivity, specificity, predictive values, and likelihood ratios were calculated for multiple cut-points of UPC alone and with uric acid.
RESULTS: In a cohort of 356 patients, the area under the curve for UPC in the diagnosis of proteinuria was 0.81. No single cut-point of UPC was diagnostic of preeclampsia. UPC values ≤0.08 or ≥1.19 have useful negative or positive predictive values of 86% and 96%. Uric acid and clinical factors did not improve the detection of significant proteinuria.
CONCLUSION: Extreme values of UPC ratio ≤0.08 or ≥1.19 have favorable predictive values, which could enable the rapid diagnosis of preeclampsia without a 24-h urine collection.
Authors:
Molly J Stout; Christina M Scifres; David M Stamilio
Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2012-10-05
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  26     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-11-28     Completed Date:  2013-05-15     Revised Date:  2014-07-14    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  66-70     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Creatinine / urine
Female
Humans
Pre-Eclampsia / diagnosis*,  urine*
Pregnancy
Proteinuria / diagnosis*,  urine
ROC Curve
Retrospective Studies
Grant Support
ID/Acronym/Agency:
T32 HD055172/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
AYI8EX34EU/Creatinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Quetiapine fumarate augmentation for patients with a primary anxiety disorder or a mood disorder: a ...
Next Document:  Cigarette smoking and impulsivity in bipolar disorder.