R M Guthrie1, J A Lott. 1. Department of Emergency Medicine, Ohio State University, Columbus 43210.
Abstract
BACKGROUND: Proteinuria is an early indication of renal disease. This study was conducted to evaluate the usefulness of dipstick urinalysis in patients with chronic diseases including hypertension and diabetes mellitus. METHODS: At a university family practice center, patients without urinary tract disorders underwent dipstick urinalysis. RESULTS: Of the 796 patients evaluated, increased proteinuria, possibly indicating early renal disease, was detected in 4% of healthy patients, 16% of patients with hypertension, 29% of patients with diabetes, and 53% of patients with both hypertension and diabetes. A higher incidence of proteinuria was found among African American patients with hypertension or diabetes or both than among white patients. CONCLUSIONS: Regular dipstick evaluation for proteinuria may be indicated in patients with hypertension or diabetes mellitus or both, particularly African American patients with these disorders.
BACKGROUND:Proteinuria is an early indication of renal disease. This study was conducted to evaluate the usefulness of dipstick urinalysis in patients with chronic diseases including hypertension and diabetes mellitus. METHODS: At a university family practice center, patients without urinary tract disorders underwent dipstick urinalysis. RESULTS: Of the 796 patients evaluated, increased proteinuria, possibly indicating early renal disease, was detected in 4% of healthy patients, 16% of patients with hypertension, 29% of patients with diabetes, and 53% of patients with both hypertension and diabetes. A higher incidence of proteinuria was found among African American patients with hypertension or diabetes or both than among white patients. CONCLUSIONS: Regular dipstick evaluation for proteinuria may be indicated in patients with hypertension or diabetes mellitus or both, particularly African American patients with these disorders.
Authors: M J Pugia; J F Wallace; J A Lott; R Sommer; K E Luke; Z K Shihabi; M Sheehan; J M Bucksa Journal: J Clin Lab Anal Date: 2001 Impact factor: 2.352