The aim of this study was to evaluate the agreement between the glomerular filtration rate (GFR) and an estimate of creatinine clearance (C-Cr), calculated from the values of body cell mass (BCM) and of plasma creatinine (P-Cr), thus avoiding urine collection. The value of BCM was obtained from the measurement of total body impedance in 80 renal patients. The relationship between 24-hour urinary creatinine excretion and BCM was evaluated in 30 of these patients. Body cell mass C-Cr (ml/min) was then calculated in each of the remaining 50 patients. For comparison, 24-hour C-Cr was measured in the same patients. The correlation coefficient of BCM C-Cr with GFR was 0.961, while that of 24-hour C-Cr with GFR was 0.869. Also, the agreement with GFR was better for BCM C-Cr than for 24-hour C-Cr. In conclusion, creatinine clearance predicted from body cell mass and plasma creatinine is a better indicator of renal function than measured 24-hour creatinine clearance.
Creatinine clearance predicted from body cell mass is a good indicator of renal function
DONADIO, CARLO;TRAMONTI, GIANFRANCO;
1997-01-01
Abstract
The aim of this study was to evaluate the agreement between the glomerular filtration rate (GFR) and an estimate of creatinine clearance (C-Cr), calculated from the values of body cell mass (BCM) and of plasma creatinine (P-Cr), thus avoiding urine collection. The value of BCM was obtained from the measurement of total body impedance in 80 renal patients. The relationship between 24-hour urinary creatinine excretion and BCM was evaluated in 30 of these patients. Body cell mass C-Cr (ml/min) was then calculated in each of the remaining 50 patients. For comparison, 24-hour C-Cr was measured in the same patients. The correlation coefficient of BCM C-Cr with GFR was 0.961, while that of 24-hour C-Cr with GFR was 0.869. Also, the agreement with GFR was better for BCM C-Cr than for 24-hour C-Cr. In conclusion, creatinine clearance predicted from body cell mass and plasma creatinine is a better indicator of renal function than measured 24-hour creatinine clearance.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.