Comparison of random urine protein/creatinine ratio with 24-hour urine protein in suspected pre-eclampsia

Autor: Lily Olayinka, Emily Garnett, Brian Burnett, Sridevi Devaraj
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Practical Laboratory Medicine, Vol 36, Iss , Pp e00316- (2023)
Druh dokumentu: article
ISSN: 2352-5517
DOI: 10.1016/j.plabm.2023.e00316
Popis: Introduction: Proteinuria is one of the classical criteria for the diagnosis of pre-eclampsia. The gold standard remains the measurement of 24-h urine protein which is time consuming and prone to preanalytical errors. Random urine protein creatinine ratio (UPCR) is endorsed by clinical practice guidelines as a faster alternative. The aim of this study was to evaluate the correlation between the 24-h urine protein excretion and UPCR in the identification of proteinuria in suspected preeclamptic patients. Method: A total of 51 women with suspected pre-eclampsia from the maternal fetal clinic of our institution were retrospectively studied. The correlation between the UPCR in random urine samples and protein excretion in the 24-h urine collection was determined by Deming Regression analysis and Pearson correlation on EP evaluator and SPSS respectively. Result: There was a significant positive correlation between the numerical values obtained by 24-h urine protein and the UPCR (R = 0.88, P 300 mg/24hr and >0.3) and 71.4% negative agreement. The clinical sensitivity and specificity of the UPCR was 74% and 69% respectively. Conclusion: Overall, UPCR was well correlated with 24-h urine protein and could be an effective and compliant screening tool to indicate proteinuria in preeclamptic patients.
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