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...

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Veröffentlicht in:British Journal of Anaesthesia 2000-02, Vol.84 (2), p.239-241
Hauptverfasser: MacKinnon, K L, Molnar, Z, Lowe, D, Watson, I D, Shearer, E
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container_issue 2
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container_title British Journal of Anaesthesia
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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
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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
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