Abstract
OBJECTIVE:
To determine whether a urine collection of <24 hours duration accurately assesses the level of proteinuria in inpatients being evaluated for preeclampsia.
STUDY DESIGN:
Patients admitted to the University of Mississippi between January and June of 1998 for evaluation of preeclampsia underwent two consecutive 12-hour urine collections. Each collection was analyzed for total protein, total calcium, total volume, and urine creatinine. A concurrent serum creatinine value was obtained. The protein:creatinine ratio, calcium:creatinine ratio, and creatinine clearance were calculated. Pearson’s correlation, sensitivity, specificity, and positive and negative predictive values were assessed.
RESULTS:
A total of 25 patients (86%) were preeclamptic. Total protein, the protein:creatinine ratio, and serum creatinine were significantly correlated between the first and second urine collection. The sensitivity and specificity of the 12-hour urine collection was 96% and 100%, respectively.
CONCLUSION: A 12-hour urine collection accurately depicts the amount of proteinuria in hospitalized gravidas being evaluated for preeclampsia.
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This work was supported in part by the Vicksburg Hospital MedicalFoundation, Vicksburg, Mississippi.
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Rinehart, B., Terrone, D., Larmon, J. et al. A 12-Hour Urine Collection Accurately Assesses Proteinuria in the Hospitalized Hypertensive Gravida. J Perinatol 19, 556–558 (1999). https://doi.org/10.1038/sj.jp.7200271
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DOI: https://doi.org/10.1038/sj.jp.7200271
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