Correlation of 2 hour, 4 hour, 8 hour and 12 hour urine protein with 24 hour urinary protein in preeclampsia.

Objective: To find shortest and reliable time period of urine collection for determination of proteinuria. Materials and methods: It is a prospective study carried out on 125 pregnant women with preeclampsia after 20 weeks of gestation having urine albumin >1 using dipstick test. Urine was collec...

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Bibliographic Details
Main Authors: Savita Rani Singhal, Veena Ghalaut, Shashi Lata, Himanshu Madaan, Veenu Kadian, Ashuma Sachdeva
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2014-09-01
Series:Journal of Family and Reproductive Health
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Online Access:https://jfrh.tums.ac.ir/index.php/jfrh/article/view/200
Description
Summary:Objective: To find shortest and reliable time period of urine collection for determination of proteinuria. Materials and methods: It is a prospective study carried out on 125 pregnant women with preeclampsia after 20 weeks of gestation having urine albumin >1 using dipstick test. Urine was collected in five different time intervals in colors labeled containers with the assistance of nursing staff; the total collection time was 24 hours. Total urine protein of two-hour, four-hour, eight-hour, 12-hour and 24-hour urine was measured and compared with 24-hour collection. Data was analyzed using the Pearson correlation coefficient. Results: There was significant correlation (p value < 0.01) in two, four, eight and 12-hour urine protein with 24-urine protein, with correlation coefficient of 0.97, 0.97, 0.96 and 0.97, respectively. When a cut off value of 25 mg, 50 mg. 100 mg, and 150 mg for urine protein were used for 2-hour, 4-hours, 8-hour and 12-hour urine collection, a sensitivity of 92.45%, 95.28%, 91.51%, and 96.23% and a specificity of 68.42%, 94.74%, 84.21% and 84.21% were obtained, respectively. Conclusion: Two-hour urine proteins can be used for assessment of proteinuria in preeclampsia instead of gold standard 24-hour urine collection for early diagnosis and better patient compliance.
ISSN:1735-8949
1735-9392