Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1381
5
1
gregorian
2002
8
1
16
2
online
1
fulltext
en
THE VALUE OF DIPSTICK ANALYSIS OF URINARY PROTEIN IN PREGNANCY INDUCED HYPERTENSION
Gynecology & Obstetrics
Gynecology & Obstetrics
Original Research
Original Research
In order to determine the value of dipstick analysis of urinary protein in pregnancy
induced hypertension, a prospective study analyzing pregnant patients with
a diagnosis of hypertensive disorder was conducted to compare the result of urinary
protein dipstick analysis with 24hr. urine protein collection in obstetrical
clinics affiliated to Shiraz University of Medical Sciences.
All patients fulfilling the criteria of the American College of Obstetricians
and Gynecologists' definitions for establishing a diagnosis of hypertensive
disorder on the basis of urinary dipstick measurements were included in
the study.
During the study, 102 hypertensive pregnant patients aged from 16-42 years
were included in the study. Obtained results showed that the presence of negative
value on urinary dipstick with a sensitivity of 100% is a useful method for ruling
out significant proteinuria (> 300 mg/24hr). But values of >2+ are not adequate
to confirm a diagnosis of severe hypertensive disorder because its positive predictive
value is only 22% and values of > trace-although highly suggestive of
significant proteinuria (positive predictive value: 78%)-have a false positive rate
of 23% a timed collection of urine for determination of 24-hr protein excretion
becomes mandatory in such cases.
The urinary dipstick determination of protein excretion therefore has significant
limitations for determination of the presence or severity of proteinuria.
Hypertensive disorder, Dipstick urine protein.
79
83
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-213&slc_lang=en&sid=1
J
ZOLGHADRI
20031947532846003997
20031947532846003997
Yes
From the Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, I.R. Iran.
S
ALBORZI
20031947532846003998
20031947532846003998
No
MS
ARDEKANY
20031947532846003999
20031947532846003999
No