Huidobro Espinosa Juan Pablo, Sepúlveda Rodrigo Andrés, Muñoz Gonzalo Mauricio
Escuela de Medicina, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Med Chil. 2020 Jun;148(6):734-739. doi: 10.4067/S0034-98872020000600734.
Evaluation of 24-hour collection accuracy is based on urinary creatinine excretion (UCr), usually using wide ranges indexed by weight. Equations that predict the expected UCr are also available.
To generate an equation for estimating UCr in Chilean population and evaluate its performance in comparison to existing formulas.
A total of 464 24-hour urine collections from outpatients aged between 15 and 88 years old were used. Ninety percent of collections (n = 418) were randomly extracted to assess the association between absolute UCr values with sex, age, height and weight of participants. A formula was created to estimate the 24-hour UCr using a multiple linear regression model. In the remaining 10% of urine collections (n = 46), the performance of this formula and others reported in the literature were tested.
Age, sex and weight were significantly associated with 24-hour UCr values. The new equation was able to predict UCr values with a similar accuracy than CKD-EPI and Walser equations and outperformed other equations.
Our equation developed with Chilean values predicts 24-hour UCr values accurately.
24小时尿液收集准确性的评估基于尿肌酐排泄量(UCr),通常使用按体重索引的宽泛范围。也有预测预期UCr的公式。
生成一个用于估计智利人群UCr的公式,并与现有公式相比评估其性能。
使用了来自15至88岁门诊患者的总共464份24小时尿液收集样本。随机抽取90%的样本(n = 418)来评估UCr绝对值与参与者的性别、年龄、身高和体重之间的关联。使用多元线性回归模型创建了一个估计24小时UCr的公式。在其余10%的尿液收集样本(n = 46)中,测试了该公式和文献中报道的其他公式的性能。
年龄、性别和体重与24小时UCr值显著相关。新公式预测UCr值的准确性与CKD-EPI和Walser公式相似,且优于其他公式。
我们用智利人群数据开发的公式能准确预测24小时UCr值。