Correlation between Urine Albumin Creatinin Ratio (UACR) Value to Urine Osmolality Value and Estimate Glomerular Filtration Rate (EGFR) Value on Patient with Kidney Failure
DOI:
https://doi.org/10.36408/mhjcm.v11i3.1184Keywords:
EGFR, Kidney Failure, UACR, Urine OsmolalityAbstract
Background : Kidney failure is one of the causes of death in the world. Laboratory tests related to kidney function are very important in the management of patients with kidney failure because they are useful in identifying any decline in kidney function, monitoring treatment and progression of kidney disease. The urine albumin creatinine ratio (UACR): is related to assess the protein filtration function in the glomerulus. The urine osmolality is to assess pre-renal, renal and post-renal hemodynamic status. The estimated glomerular filtration rate (EGFR) is to assess overall glomerular function. EGFR is the gold standard. The aim of this research is to determine 1). The correlation between UACR value to urine osmolality value, 2). The correlation between UACR value to EGFR value. Patient with kidney failure is the independent variable, meanwhile UACR value, urine osmolality value and EGFR value are dependent variables.
Methods : This study is a quantitative study with analytical observations through a cross sectional design using 30 sample patients with kidney failure either acute kidney injury (AKI) or chronic kidney disease (CKD). This study was conducted from May to June 2024 at the Central Laboratory Installation of Dr. Saiful Anwar Hospital, East Java Province. UACR and EGFR examination used the principle of photometric test while urine osmolality examination used the principle of electrical conductivity. The data were analyzed using the Shapiro-Wilk normality test and the Spearman non-parametric correlation test through SPSS 27.
Results : In the normality test results, it was found that UACR and EGFR values were not normally distributed (p = <0.001) while urine osmolality values were normally distributed (p = 0.523). Spearman's non-parametric correlation test showed that there was no correlation between UACR to urine osmolality (p = 0.342) and EGFR value (p = 0.481).
Conclusion : The results of this study showed no correlation between UACR value to urine osmolality value and EGFR value in patients with kidney failure.
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References
1. Syahputra E, Laoli EK, Alyah J, Bahagia HBS EY, Tumorang EYE, Nababan T. Dukungan Keluarga Berhubungan Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa. J Penelit Perawat Prof [Internet]. 2022;4:793–800.
2. Riskesdas Kementrian Kesehatan RI. Laporan Riskesdas 2018 pdf [Internet]. Lembaga Penerbit Balitbangkes. 2019.
3. Gounden V, Bhatt H, Jialal I. Renal Function Tests [Internet]. StatPearls Publishing;
4. Susianti Memahami Interpretasi Pemeriksaan Laboratorium Penyakit Ginjal Kronis. Malang: UB Press; 2019. 1–117 p.
5. Larkins NG, Kim S, Carlin JB, Grobler AC, Burgner DP, Lange K, et al. Albuminuria: Population epidemiology and concordance in Australian children aged 11–12 years and their BMJ Open. 2019;9:75–84.
6. Afera SL, Santoso SD, Santosa Rasio Albumin Kreatinin Urin Sebagai Deteksi Dini Gangguan Fungsi Ginjal Pada Diabetes Melitus. J SainHealth [Internet]. 2021;5(2):1–5.
7. Oshima M, Toyama T, Hara A, Shimizu M, Kitajima S, Iwata Y, et al. Combined changes in albuminuria and kidney function and subsequent risk for kidney failure in type 2 diabetes. BMJ Open Diabetes Res 2021;9(1).
8. Levey AS, Gansevoort RT, Coresh J, Inker LA, Heerspink HL, Grams ME, et al. Change in Albuminuria and GFR as End Points for Clinical Trials in Early Stages of CKD: A Scientific Workshop Sponsored by the National Kidney Foundation in Collaboration With the US Food and Drug Administration and European Medicines Am J Kidney Dis [ Internet]. 2020;75(1):84–104.
9. Milani DAQ, Jialal Urinalysis [Internet]. StatPearls Publishing; 2023.
10. Yoo DW, Lee SM, Moon SY, Kim IS, Chang CL. Evaluation of conductivity-based osmolality measurement in urine using the Sysmex J Clin Lab Anal. 2021;35(1):1–7.
11. Lee MJ, Chang TI, Lee J, Kim YH, Oh KH, Lee SW, et al. Urine Osmolality and Renal Outcome in Patients with Chronic Kidney Disease: Results from the KNOW-CKD. Kidney Blood Press 2019;44(5):1089–100.
12. Kitiwan BK, Vasunilashorn SM, Baer HJ, Mukamal K, Juraschek The association of urine osmolality with decreased kidney function and/or albuminuria in the United States. BMC Nephrol. 2021;22(1):1–11.
13. Syapitri H, Amila, Aritonang Buku Ajar Metodologi Penelitian Kesehatan [Internet]. 1st ed. Medan: Ahlimedia Press; 2021. 1–214 p.
14. Miller WG, Kaufman HW, Levey AS, Straseski JA, Wilhelms KW, Yu HYE, et al. National Kidney Foundation Laboratory Engagement Working Group Recommendations for Implementing the CKD-EPI 2021 Race-Free Equations for Estimated Glomerular Filtration Rate: Practical Guidance for Clinical Clin Chem. 2022;68(4):511–20.
15. Suardi S. Pengaruh Kepuasan Kerja Terhadap Kinerja Pegawai Pada Pt Bank Mandiri, Tbk Kantor Cabang Pontianak. Business, Econ Entrep. 2019;1(2):9–19.
16. Yaqub S, Hashmi S, Kazmi MK, Ali AA, Dawood T, Sharif A Comparison of AKIN, KDIGO, and RIFLE Definitions to Diagnose Acute Kidney Injury and Predict the Outcomes after Cardiac Surgery in a South Asian Cohort. CardioRenal Med. 2022;12(1):29–38.
17. Larkins MC., Zubair M, Thombare A. Osmometer [Internet]. StatPearls Publishing;
18. Oyaert M, Speeckaert MM, Delanghe JR. Estimated urinary osmolality based on combined urinalysis parameters: a critical Clin Chem Lab Med. 2019;57(8):1169–76.
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