Amoniuria, urinary gap and osmolal in patients with moderate renal insufficiency
The chronic metabolic acidosis induces increase in the urinary ammonium production (NH4+u) like equalizer, reflected in major or measured minor, if the process is chronic or acute. The objective of the present work was to study the capacity of urinary acidification in patients with Failure Renal Chr...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2012
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/21122 |
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I10-R327-article-211222024-08-27T18:22:43Z Amoniuria, urinary gap and osmolal in patients with moderate renal insufficiency Amoniuria, gap urinario y osmolal en pacientes con insuficiencia renal moderada Guzman, Laura K. Ruiz Pecchio, Adriana M. Munizaga, Marcela Ponte, María G. Meunier, Edith G. Canzonieri, Romina A. Asia, Susana Amonio Urinario (NH4 u) GAP urinario Cl Cr y MDRD6 Amonio Urinario (NH4 u) Urinary Urinary ammonium (NH4 u) GAP CL Cr and MDRD6 Urinary Urinary ammonium (NH4 u) The chronic metabolic acidosis induces increase in the urinary ammonium production (NH4+u) like equalizer, reflected in major or measured minor, if the process is chronic or acute. The objective of the present work was to study the capacity of urinary acidification in patients with Failure Renal Chronic (FRC), stage II and III measuring NH4+u and to compare results with GAP urinary (GAPu), GAP urinary modified (GAPu mod), GAP Osmolal (GAPosm) and GAP Osmolal modified (GAPosm modif.) like indirect indices of amoniuria. Samples Venous/arterial blood and a draft fresh urine of 34 patients were analyzed. Statistically significant correlation was obtained (p< 0,003) between NH4+u ug/min/1.73m2 versus GAPu mmol/l (r = -0,4979) and GAPu mod mmol/l (- 0.5032), improving when NH4+u normatizó by creatinine (r = - 0.6793 and 0.6087 respectively, p < 0,0001). The GAPosm and GAPosm modif did not show significance at the time of evaluating NH4+u, contrary GAPu and GAPu mod would offer an indirect measurement of excretion of NH4+u, having given this last protein nutritional information. A value of p<0.05 was considered statistically significant. La acidosis metabólica crónica induce incremento en la producción de amonio urinario (NH4+u) como mecanismo compensador, reflejado en mayor o menor medida, si el proceso es crónico o agudo. El objetivo del presente trabajo fue estudiar la capacidad de acidificación urinaria en pacientes con Fracaso Renal Crónico (FRC), estadío II y III midiendo NH4+u y comparar resultados con GAP urinario (GAPu),GAP urinario modificado (GAPu mod), GAP Osmolal (GAPosm) y GAP Osmolal modificado (GAPosm modif.) como índices indirectos de la amoniuria. Se analizaron muestras de sangre venosa/arterial y orina fresca minutada de 34 pacientes. Se obtuvo correlación estadísticamente significativa (p < 0,003) entre NH4+u ug/min/1.73m2 vs GAPu mmol/l (r = -0,4979) y GAPu mod mmol/l (-0,5032), mejorando cuando NH4+u se normatizó por creatinina (r = - 0,6793 y 0,6087 respectivamente, p < 0,0001). El GAPosm y GAPosm modif no mostraron significancia a la hora de evaluar NH4+u, contrariamente GAPu y GAPu mod ofrecerían una medida indirecta de excreción de NH4+u, dando este último información nutricional proteica. Se consideró estadísticamente significativo un valor de p< 0.05. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2012-09-04 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html https://revistas.unc.edu.ar/index.php/med/article/view/21122 10.31053/1853.0605.v69.n3.21122 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 69 No. 3 (2012); 150-155 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 69 Núm. 3 (2012); 150-155 Revista da Faculdade de Ciências Médicas de Córdoba; v. 69 n. 3 (2012); 150-155 1853-0605 0014-6722 10.31053/1853.0605.v69.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/21122/20686 Derechos de autor 2012 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
Amonio Urinario (NH4 u) GAP urinario Cl Cr y MDRD6 Amonio Urinario (NH4 u) Urinary Urinary ammonium (NH4 u) GAP CL Cr and MDRD6 Urinary Urinary ammonium (NH4 u) |
| spellingShingle |
Amonio Urinario (NH4 u) GAP urinario Cl Cr y MDRD6 Amonio Urinario (NH4 u) Urinary Urinary ammonium (NH4 u) GAP CL Cr and MDRD6 Urinary Urinary ammonium (NH4 u) Guzman, Laura K. Ruiz Pecchio, Adriana M. Munizaga, Marcela Ponte, María G. Meunier, Edith G. Canzonieri, Romina A. Asia, Susana Amoniuria, urinary gap and osmolal in patients with moderate renal insufficiency |
| topic_facet |
Amonio Urinario (NH4 u) GAP urinario Cl Cr y MDRD6 Amonio Urinario (NH4 u) Urinary Urinary ammonium (NH4 u) GAP CL Cr and MDRD6 Urinary Urinary ammonium (NH4 u) |
| author |
Guzman, Laura K. Ruiz Pecchio, Adriana M. Munizaga, Marcela Ponte, María G. Meunier, Edith G. Canzonieri, Romina A. Asia, Susana |
| author_facet |
Guzman, Laura K. Ruiz Pecchio, Adriana M. Munizaga, Marcela Ponte, María G. Meunier, Edith G. Canzonieri, Romina A. Asia, Susana |
| author_sort |
Guzman, Laura K. |
| title |
Amoniuria, urinary gap and osmolal in patients with moderate renal insufficiency |
| title_short |
Amoniuria, urinary gap and osmolal in patients with moderate renal insufficiency |
| title_full |
Amoniuria, urinary gap and osmolal in patients with moderate renal insufficiency |
| title_fullStr |
Amoniuria, urinary gap and osmolal in patients with moderate renal insufficiency |
| title_full_unstemmed |
Amoniuria, urinary gap and osmolal in patients with moderate renal insufficiency |
| title_sort |
amoniuria, urinary gap and osmolal in patients with moderate renal insufficiency |
| description |
The chronic metabolic acidosis induces increase in the urinary ammonium production (NH4+u) like equalizer, reflected in major or measured minor, if the process is chronic or acute. The objective of the present work was to study the capacity of urinary acidification in patients with Failure Renal Chronic (FRC), stage II and III measuring NH4+u and to compare results with GAP urinary (GAPu), GAP urinary modified (GAPu mod), GAP Osmolal (GAPosm) and GAP Osmolal modified (GAPosm modif.) like indirect indices of amoniuria. Samples Venous/arterial blood and a draft fresh urine of 34 patients were analyzed. Statistically significant correlation was obtained (p< 0,003) between NH4+u ug/min/1.73m2 versus GAPu mmol/l (r = -0,4979) and GAPu mod mmol/l (- 0.5032), improving when NH4+u normatizó by creatinine (r = - 0.6793 and 0.6087 respectively, p < 0,0001). The GAPosm and GAPosm modif did not show significance at the time of evaluating NH4+u, contrary GAPu and GAPu mod would offer an indirect measurement of excretion of NH4+u, having given this last protein nutritional information. A value of p<0.05 was considered statistically significant. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2012 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/21122 |
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