Spot urinary protein/osmolality ratio as a predictor for proteinuria of nephrotic range

Authors

  • Salma Jahan
  • Md. Saiful Islam
  • Md. Moazzam Hossain

DOI:

https://doi.org/10.3329/bmrcb.v33i2.1207

Keywords:

Kidney, Proteinuria, Urinary

Abstract

A prospective study was carried out on 50 patients (age 1-15 years) with nephrotic range of proteinuria to determine the correlation of 24-hour urinary total protein with spot urinary protein/creatinine ratio and urinary protein/osmolality ratio. Another 50 patients having no proteinuria grouped as control. Twenty-four hours urine and spot urine were collected from each child and were analyzed for total volume, total protein, creatinine and osmolality level. The average 24-hour urinary total proteins in nephritic patient were 2148.6 ± 808.7 mg and the spot urinary protein/creatinine and spot urinary protein/osmolality were 3.2332 ± 0.4293 mg/mg and 3.2418 ± 0.4393 mg/mOsm respectively. There was a strong positive correlation of the 24-hour urinary total protein with spot urinary protein/creatinine and protein/osmolality ratios (r=0.9846 and 0.9870, p= <0.001). But in control group, these ratios did not show any correlation with 24-hour urinary total protein. These results suggest that in pediatric patients with nephrotic range of proteinuria, the spot urinary protein/osmolality ratio can predict the 24-hour  urinary total protein excretion like that of spot urinary protein/creatinine ratios.

Keywords: Kidney; Proteinuria; Urinary

DOI: 10.3329/bmrcb.v33i2.1207

Bangladesh Med Res Counc Bull 2007; 33: 65-68

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How to Cite

Jahan, S., Islam, M. S., & Hossain, M. M. (2008). Spot urinary protein/osmolality ratio as a predictor for proteinuria of nephrotic range. Bangladesh Medical Research Council Bulletin, 33(2), 65–68. https://doi.org/10.3329/bmrcb.v33i2.1207

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Section

Research Papers