Use of microalbuminuria as a predictor of outcome in critically ill patients
We have investigated the use of microalbuminuria as a predictor of outcome in a pilot study involving 50 critically ill patients in a six-bed hospital intensive care unit (ICU). Urinary microalbumin:creatinine (M:Cr) ratios measured only 6 h after admission to the ICU demonstrated a significant diff...
Gespeichert in:
Veröffentlicht in: | British Journal of Anaesthesia 2000-02, Vol.84 (2), p.239-241 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 241 |
---|---|
container_issue | 2 |
container_start_page | 239 |
container_title | British Journal of Anaesthesia |
container_volume | 84 |
creator | MacKinnon, K L Molnar, Z Lowe, D Watson, I D Shearer, E |
description | We have investigated the use of microalbuminuria as a predictor of outcome in a pilot study involving 50 critically ill patients in a six-bed hospital intensive care unit (ICU). Urinary microalbumin:creatinine (M:Cr) ratios measured only 6 h after admission to the ICU demonstrated a significant difference (P = 0.01) between survivors and non-survivors, allowing rapid identification of patients at increased risk of developing organ failure and at greater risk of death. This work suggests that earlier identification of these patients using a rapid, simple, inexpensive biochemical test is possible; if confirmed in a larger study, it may be that clinical interventions can be targeted at those most likely to benefit. |
doi_str_mv | 10.1093/oxfordjournals.bja.a013409 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70993098</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/oxfordjournals.bja.a013409</oup_id><els_id>S0007091217381242</els_id><sourcerecordid>70993098</sourcerecordid><originalsourceid>FETCH-LOGICAL-c530t-41684b0d2746a90d3cff4d81bddf979ccc91b47e24019f52df495bc7a7da08483</originalsourceid><addsrcrecordid>eNqVkUtL9DAUhoMoOl7-ggQRdx1P2nTSuBPvMOBG1yHNBTK0TU3aj89_b8aOeFnp6mye9z2H5yB0QmBOgBfn_r_1Qa_8GDrZxHm9knMJpKDAt9CMUEayBWNkG80AgGXASb6H9mNcARCW83IX7RFgtKAln6HlczTYW9w6Fbxs6rF13RicxDJiiftgtFODD2vEj4PyrcGuwyq4wSnZNK_YNQ3u5eBMN8RDtGPTReZoMw_Q8-3N09V9tny8e7i6XGaqLGDIKFlUtAadM7qQHHShrKW6IrXWljOulOKkpszkFAi3Za4t5WWtmGRaQkWr4gCdTb198C-jiYNoXVSmaWRn_BgFA84L4Gvw5Af4YU0Qzhjl8N52MUHJQIzBWNEH18rwKgiItXDxXbhIwsVGeAofbzaMdWv0l-hkOAGnG0DGZMwG2SkXP7m8JBWUCSsnzI_93_ZfTzmTfP9zJoio0i9U-lswahDau9_UvAE0Lbqt</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>197749048</pqid></control><display><type>article</type><title>Use of microalbuminuria as a predictor of outcome in critically ill patients</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>MacKinnon, K L ; Molnar, Z ; Lowe, D ; Watson, I D ; Shearer, E</creator><creatorcontrib>MacKinnon, K L ; Molnar, Z ; Lowe, D ; Watson, I D ; Shearer, E</creatorcontrib><description>We have investigated the use of microalbuminuria as a predictor of outcome in a pilot study involving 50 critically ill patients in a six-bed hospital intensive care unit (ICU). Urinary microalbumin:creatinine (M:Cr) ratios measured only 6 h after admission to the ICU demonstrated a significant difference (P = 0.01) between survivors and non-survivors, allowing rapid identification of patients at increased risk of developing organ failure and at greater risk of death. This work suggests that earlier identification of these patients using a rapid, simple, inexpensive biochemical test is possible; if confirmed in a larger study, it may be that clinical interventions can be targeted at those most likely to benefit.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/oxfordjournals.bja.a013409</identifier><identifier>PMID: 10743459</identifier><identifier>CODEN: BJANAD</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Aged ; Albuminuria - diagnosis ; Albuminuria - mortality ; Biological and medical sciences ; Biomarkers - urine ; Critical Care - methods ; Critical Illness - mortality ; Hospital Mortality ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Logistic Models ; Medical sciences ; Middle Aged ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Pilot Projects ; Prognosis ; Urinary system</subject><ispartof>British Journal of Anaesthesia, 2000-02, Vol.84 (2), p.239-241</ispartof><rights>2000 British Journal of Anaesthesia</rights><rights>2000 INIST-CNRS</rights><rights>Copyright British Medical Association Feb 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c530t-41684b0d2746a90d3cff4d81bddf979ccc91b47e24019f52df495bc7a7da08483</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1251805$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10743459$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MacKinnon, K L</creatorcontrib><creatorcontrib>Molnar, Z</creatorcontrib><creatorcontrib>Lowe, D</creatorcontrib><creatorcontrib>Watson, I D</creatorcontrib><creatorcontrib>Shearer, E</creatorcontrib><title>Use of microalbuminuria as a predictor of outcome in critically ill patients</title><title>British Journal of Anaesthesia</title><addtitle>Br J Anaesth</addtitle><addtitle>Br J Anaesth</addtitle><description>We have investigated the use of microalbuminuria as a predictor of outcome in a pilot study involving 50 critically ill patients in a six-bed hospital intensive care unit (ICU). Urinary microalbumin:creatinine (M:Cr) ratios measured only 6 h after admission to the ICU demonstrated a significant difference (P = 0.01) between survivors and non-survivors, allowing rapid identification of patients at increased risk of developing organ failure and at greater risk of death. This work suggests that earlier identification of these patients using a rapid, simple, inexpensive biochemical test is possible; if confirmed in a larger study, it may be that clinical interventions can be targeted at those most likely to benefit.</description><subject>Adult</subject><subject>Aged</subject><subject>Albuminuria - diagnosis</subject><subject>Albuminuria - mortality</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - urine</subject><subject>Critical Care - methods</subject><subject>Critical Illness - mortality</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Logistic Models</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>Pilot Projects</subject><subject>Prognosis</subject><subject>Urinary system</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkUtL9DAUhoMoOl7-ggQRdx1P2nTSuBPvMOBG1yHNBTK0TU3aj89_b8aOeFnp6mye9z2H5yB0QmBOgBfn_r_1Qa_8GDrZxHm9knMJpKDAt9CMUEayBWNkG80AgGXASb6H9mNcARCW83IX7RFgtKAln6HlczTYW9w6Fbxs6rF13RicxDJiiftgtFODD2vEj4PyrcGuwyq4wSnZNK_YNQ3u5eBMN8RDtGPTReZoMw_Q8-3N09V9tny8e7i6XGaqLGDIKFlUtAadM7qQHHShrKW6IrXWljOulOKkpszkFAi3Za4t5WWtmGRaQkWr4gCdTb198C-jiYNoXVSmaWRn_BgFA84L4Gvw5Af4YU0Qzhjl8N52MUHJQIzBWNEH18rwKgiItXDxXbhIwsVGeAofbzaMdWv0l-hkOAGnG0DGZMwG2SkXP7m8JBWUCSsnzI_93_ZfTzmTfP9zJoio0i9U-lswahDau9_UvAE0Lbqt</recordid><startdate>20000201</startdate><enddate>20000201</enddate><creator>MacKinnon, K L</creator><creator>Molnar, Z</creator><creator>Lowe, D</creator><creator>Watson, I D</creator><creator>Shearer, E</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20000201</creationdate><title>Use of microalbuminuria as a predictor of outcome in critically ill patients</title><author>MacKinnon, K L ; Molnar, Z ; Lowe, D ; Watson, I D ; Shearer, E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c530t-41684b0d2746a90d3cff4d81bddf979ccc91b47e24019f52df495bc7a7da08483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Albuminuria - diagnosis</topic><topic>Albuminuria - mortality</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - urine</topic><topic>Critical Care - methods</topic><topic>Critical Illness - mortality</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Logistic Models</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Pilot Projects</topic><topic>Prognosis</topic><topic>Urinary system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MacKinnon, K L</creatorcontrib><creatorcontrib>Molnar, Z</creatorcontrib><creatorcontrib>Lowe, D</creatorcontrib><creatorcontrib>Watson, I D</creatorcontrib><creatorcontrib>Shearer, E</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>British Journal of Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MacKinnon, K L</au><au>Molnar, Z</au><au>Lowe, D</au><au>Watson, I D</au><au>Shearer, E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of microalbuminuria as a predictor of outcome in critically ill patients</atitle><jtitle>British Journal of Anaesthesia</jtitle><stitle>Br J Anaesth</stitle><addtitle>Br J Anaesth</addtitle><date>2000-02-01</date><risdate>2000</risdate><volume>84</volume><issue>2</issue><spage>239</spage><epage>241</epage><pages>239-241</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>We have investigated the use of microalbuminuria as a predictor of outcome in a pilot study involving 50 critically ill patients in a six-bed hospital intensive care unit (ICU). Urinary microalbumin:creatinine (M:Cr) ratios measured only 6 h after admission to the ICU demonstrated a significant difference (P = 0.01) between survivors and non-survivors, allowing rapid identification of patients at increased risk of developing organ failure and at greater risk of death. This work suggests that earlier identification of these patients using a rapid, simple, inexpensive biochemical test is possible; if confirmed in a larger study, it may be that clinical interventions can be targeted at those most likely to benefit.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>10743459</pmid><doi>10.1093/oxfordjournals.bja.a013409</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0007-0912 |
ispartof | British Journal of Anaesthesia, 2000-02, Vol.84 (2), p.239-241 |
issn | 0007-0912 1471-6771 |
language | eng |
recordid | cdi_proquest_miscellaneous_70993098 |
source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
subjects | Adult Aged Albuminuria - diagnosis Albuminuria - mortality Biological and medical sciences Biomarkers - urine Critical Care - methods Critical Illness - mortality Hospital Mortality Humans Investigative techniques, diagnostic techniques (general aspects) Logistic Models Medical sciences Middle Aged Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Pilot Projects Prognosis Urinary system |
title | Use of microalbuminuria as a predictor of outcome in critically ill patients |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-13T23%3A48%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Use%20of%20microalbuminuria%20as%20a%20predictor%20of%20outcome%20in%20critically%20ill%20patients&rft.jtitle=British%20Journal%20of%20Anaesthesia&rft.au=MacKinnon,%20K%20L&rft.date=2000-02-01&rft.volume=84&rft.issue=2&rft.spage=239&rft.epage=241&rft.pages=239-241&rft.issn=0007-0912&rft.eissn=1471-6771&rft.coden=BJANAD&rft_id=info:doi/10.1093/oxfordjournals.bja.a013409&rft_dat=%3Cproquest_cross%3E70993098%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=197749048&rft_id=info:pmid/10743459&rft_oup_id=10.1093/oxfordjournals.bja.a013409&rft_els_id=S0007091217381242&rfr_iscdi=true |