Estimation of glomerular filtration rate in preeclamptic patients

被引:37
|
作者
Alper, Arnold B.
Yi, Yeonjoo
Webber, Larry S.
Pridjian, Gabriella
Mumuney, Abimbola Aina
Saade, George
Morgan, Jamie
Nuwayhid, Bahij
Belfort, Michael
Puschett, Jules
机构
[1] Tulane Univ, Med Ctr, Dept Med, Nephrol Sect, New Orleans, LA 70118 USA
[2] Tulane Univ, Med Ctr, Dept Obstet & Gynecol, New Orleans, LA 70118 USA
[3] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Biostat, New Orleans, LA 70118 USA
[4] Johns Hopkins Univ, Sch Med, Dept Obstet & Gynecol, Baltimore, MD USA
[5] Univ Texas Med Branch, Dept Obstet & Gynecol, Galveston, TX USA
[6] Texas Tech El Paso Sch Med, Dept Obstet & Gynecol, El Paso, TX USA
[7] Univ Utah, Sch Med, Dept Obstet & Gynecol, Salt Lake City, UT 84112 USA
关键词
preeclampsia; glomerular filtration rate; renal function;
D O I
10.1055/s-2007-986697
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Accurate estimation of the glomerular filtration rate (GFR) in patients with preeclampsia is often difficult or impossible to accomplish. In this study, the Cockcroft-Gault (CG), Modification of Diet in Renal Disease (MDRD), and MDRD2 formulas were evaluated for their accuracy in determining GFR in the setting of preeclampsia. The estimated GFR calculated from these formulas was compared with the creatinine clearance values obtained from a 24-hour urine collection in 209 preeclamptic patients recruited from five large hospitals. Additionally, a set of new equations that more accurately estimate GFR in preeclamptic patients based on ethnicity, preeclampsia GFR (PGFR), was created. Both the CG and MDRD formulas were inaccurate in predicting GFR in preeclamptic patients, and both were significantly less accurate than PGFR. In conclusion, current GFR estimation equations based on serum creatinine values in nonpregnant patients are not reliable measures of renal function in patients with preeclampsia. The use of a new (PGFR) formula is recommended.
引用
收藏
页码:569 / 574
页数:6
相关论文
共 50 条
  • [41] Estimation of the glomerular filtration rate in cancer patients: A new formula for new drugs
    Murray, PT
    Ratain, MJ
    JOURNAL OF CLINICAL ONCOLOGY, 2003, 21 (14) : 2633 - 2635
  • [42] Accuracy of the estimation of glomerular filtration rate within a population of critically ill patients
    João Pedro Baptista
    Marta Neves
    Luis Rodrigues
    Luísa Teixeira
    João Pinho
    Jorge Pimentel
    Journal of Nephrology, 2014, 27 : 403 - 410
  • [43] Cystatin C for estimation of glomerular filtration rate in patients with spinal cord injury
    Jenkins, MA
    Brown, DJ
    Ierino, FL
    Ratnaike, SI
    ANNALS OF CLINICAL BIOCHEMISTRY, 2003, 40 : 364 - 368
  • [44] Creatinine-based estimation of glomerular filtration rate in patients with a Fontan circulation
    Wilson, Thomas G.
    d'Udekem, Yves
    Winlaw, David S.
    Cordina, Rachael L.
    Ayer, Julian
    Gentles, Thomas L.
    Weintraub, Robert G.
    Grigg, Leeanne E.
    Cheung, Michael
    Cain, Timothy M.
    Rao, Padma
    Verrall, Charlotte
    Du Plessis, Karin
    Rice, Kathryn
    Iyengar, Ajay J.
    CONGENITAL HEART DISEASE, 2019, 14 (03) : 454 - 463
  • [45] Accuracy of the estimation of glomerular filtration rate within a population of critically ill patients
    Baptista, Joao Pedro
    Neves, Marta
    Rodrigues, Luis
    Teixeira, Luisa
    Pinho, Joao
    Pimentel, Jorge
    JOURNAL OF NEPHROLOGY, 2014, 27 (04) : 403 - 410
  • [46] Accuracy of estimation of glomerular filtration rate from renography
    Fleming, JS
    JOURNAL OF NUCLEAR MEDICINE, 1999, 40 (11) : 1968 - 1969
  • [47] Novel metabolites to improve glomerular filtration rate estimation
    Guo, Xinghua
    Peng, Hongquan
    Liu, Peijia
    Tang, Leile
    Fang, Jia
    Aoieong, ChiWa
    Tou, Tou
    Tsai, Tsungyang
    Liu, Xun
    KIDNEY & BLOOD PRESSURE RESEARCH, 2023, 48 (01): : 287 - 296
  • [48] SIMPLE METHOD FOR ESTIMATION OF GLOMERULAR-FILTRATION RATE
    GROTH, T
    TENGSTROM, B
    SCANDINAVIAN JOURNAL OF CLINICAL & LABORATORY INVESTIGATION, 1977, 37 (01): : 39 - 47
  • [49] A Deep Learning Approach for the Estimation of Glomerular Filtration Rate
    Wang, Haishuai
    Bowe, Benjamin
    Cui, Zhicheng
    Yang, Hong
    Swamidass, S. Joshua
    Xie, Yan
    Al-Aly, Ziyad
    IEEE TRANSACTIONS ON NANOBIOSCIENCE, 2022, 21 (04) : 560 - 569
  • [50] Glomerular filtration rate estimation and mortality in an elderly population
    Maaravi, Y.
    Bursztyn, M.
    Hammerman-Rozenberg, R.
    Stessman, J.
    QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 2007, 100 (07) : 441 - 449