Statement position paper. Protein/creatinine in an obtained randomly urine sample in the proteinuria diagnosis in the pregnant patients with hipertension

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Grupo GAREI

Keywords

Proteinuria, Pre-eclampsia

Abstract

Leaños Miranda and colaborators published that the measurement of protein/creatinine ratio in a single random urine sample is a reliable indicator of significant proteinuria and may be reasonably used as alternative to the 24-hours urine collection method as a diagnostic criteria for urinary protein, and it is also a criterion for identifying the disease severity. This leads us to present this successful result of the investigation as a position statement in the care of pregnant women with hypertension.

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References

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Côté AM, Brown MA, Lam E, von Dadelszen P, Firoz T, Liston RM, Magee LA. Diagnostic accuracy of urinary spot protein:creatinine ratio for proteinuria in hypertensive pregnant women: systematic review. BMJ 2008;336(7651):1003-1006.

 

Leaños-Miranda A, Márquez-Acosta J, Romero-Arauz F, Cárdenas-Mondragón GM, Rivera-Leaños R, Isordia-Salas I, et al. Protein:creatinine ratio in random urine samples is a reliable marker of increased 24-hour protein excretion inhospitalized women with hypertensive disorders of pregnancy. Clin Chem 2007;53(9):1623-1628.

 

Lowe SA, Brown MA, Dekker GA, Gatt S, McLintock CK, McMahon LP, et al. Guidelines for the management of hypertensive disorders of pregnancy 2008. Aust N Z J Obstet Gynaecol 2009;49(3):242-246.

 

Royal College of Obstetricians and Gynaecologists. Hypertension in pregnancy: the management of hypertensive disorders during pregnancy. August 2010 revised reprint January 2011). London: National Collaborating Centre for Women’s and Children’s Health; 2011. Disponible en www. nice.org.uk/nicemedia/live/13098/50475/50475.pdf