Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy

ABSTRACT: To determine the reliability and accuracy of the sulfosalicylic acid test in the fast detection and semi-quantitative analysis of proteinuria. Methods: Prospective, descriptive study at Hospital Universitario San Vicente de Paúl in Medellín, Colombia. Ninety eight women with proteinuria an...

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Autores:
Velásquez Penagos, Jesús Arnulfo
Zuleta Tobón, John Jairo
López Jaramillo, José Duván
Gómez Marulanda, Natalia Lucía
Gómez Gallego, Jáder de Jesús
Tipo de recurso:
Article of investigation
Fecha de publicación:
2011
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/12672
Acceso en línea:
http://hdl.handle.net/10495/12672
Palabra clave:
Pregnancy-Induced Hypertension
Preeclampsia
Proteinuria
Sulfosalicylic Acid Test
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc-sa/4.0/
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dc.title.spa.fl_str_mv Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy
dc.title.translated.spa.fl_str_mv Uso del ácido sulfosalicílico para la detección de proteinuria y su aplicación a problemas de hipertensión en el embarazo
title Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy
spellingShingle Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy
Pregnancy-Induced Hypertension
Preeclampsia
Proteinuria
Sulfosalicylic Acid Test
title_short Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy
title_full Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy
title_fullStr Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy
title_full_unstemmed Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy
title_sort Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy
dc.creator.fl_str_mv Velásquez Penagos, Jesús Arnulfo
Zuleta Tobón, John Jairo
López Jaramillo, José Duván
Gómez Marulanda, Natalia Lucía
Gómez Gallego, Jáder de Jesús
dc.contributor.author.none.fl_str_mv Velásquez Penagos, Jesús Arnulfo
Zuleta Tobón, John Jairo
López Jaramillo, José Duván
Gómez Marulanda, Natalia Lucía
Gómez Gallego, Jáder de Jesús
dc.contributor.researchgroup.spa.fl_str_mv Nacer, Salud Sexual y Reproductiva
dc.subject.none.fl_str_mv Pregnancy-Induced Hypertension
Preeclampsia
Proteinuria
Sulfosalicylic Acid Test
topic Pregnancy-Induced Hypertension
Preeclampsia
Proteinuria
Sulfosalicylic Acid Test
description ABSTRACT: To determine the reliability and accuracy of the sulfosalicylic acid test in the fast detection and semi-quantitative analysis of proteinuria. Methods: Prospective, descriptive study at Hospital Universitario San Vicente de Paúl in Medellín, Colombia. Ninety eight women with proteinuria and 129 without it were included. Turbidity test with sulfosalicylic acid was compared to 24-hour-proteinuria. Results: The likelihood ratios (LR) for turbidity test results of 1+, 2+, 3+, 4+, and 5+ were 0.4, 0.7, 3.4, 6.7, and 39.1, respectively. Interclass correlation between the three evaluators of turbidity was 0.966. With the cut point set at 4+, sensitivity was 41.1% (CI 95%: 30.6-51.5), and specificity was 97.7% (CI 95%: 94.7-100). In hypertensive patients, positive predictive value was 95% (CI 95%: 87-100) and negative predictive value was 53.3% (CI 95%: 42.5-64). Conclusion: Turbidity test is an easy, fast, cheap, and reproducible analysis. Because of its high specificity it is ideal to study pregnant women, particularly those with hypertension, for proteinuria.
publishDate 2011
dc.date.issued.none.fl_str_mv 2011
dc.date.accessioned.none.fl_str_mv 2019-12-20T17:22:15Z
dc.date.available.none.fl_str_mv 2019-12-20T17:22:15Z
dc.type.spa.fl_str_mv Artículo de investigación
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
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dc.identifier.citation.spa.fl_str_mv Velásquez Penagos JA, Zuleta Tobón JJ, López Jaramillo JD, Gómez Marulanda NL, Gómez Gallego J. Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy. Iatreia. 2011 Sep-Nov;24(3): 259-266.
dc.identifier.issn.none.fl_str_mv 0121-0793
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/12672
dc.identifier.eissn.none.fl_str_mv 2011-7965
identifier_str_mv Velásquez Penagos JA, Zuleta Tobón JJ, López Jaramillo JD, Gómez Marulanda NL, Gómez Gallego J. Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy. Iatreia. 2011 Sep-Nov;24(3): 259-266.
0121-0793
2011-7965
url http://hdl.handle.net/10495/12672
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Iatreia
dc.relation.citationendpage.spa.fl_str_mv 266
dc.relation.citationissue.spa.fl_str_mv 3
dc.relation.citationvolume.spa.fl_str_mv 24
dc.relation.ispartofjournal.spa.fl_str_mv Iatreia
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dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
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spelling Velásquez Penagos, Jesús ArnulfoZuleta Tobón, John JairoLópez Jaramillo, José DuvánGómez Marulanda, Natalia LucíaGómez Gallego, Jáder de JesúsNacer, Salud Sexual y Reproductiva2019-12-20T17:22:15Z2019-12-20T17:22:15Z2011Velásquez Penagos JA, Zuleta Tobón JJ, López Jaramillo JD, Gómez Marulanda NL, Gómez Gallego J. Use of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancy. Iatreia. 2011 Sep-Nov;24(3): 259-266.0121-0793http://hdl.handle.net/10495/126722011-7965ABSTRACT: To determine the reliability and accuracy of the sulfosalicylic acid test in the fast detection and semi-quantitative analysis of proteinuria. Methods: Prospective, descriptive study at Hospital Universitario San Vicente de Paúl in Medellín, Colombia. Ninety eight women with proteinuria and 129 without it were included. Turbidity test with sulfosalicylic acid was compared to 24-hour-proteinuria. Results: The likelihood ratios (LR) for turbidity test results of 1+, 2+, 3+, 4+, and 5+ were 0.4, 0.7, 3.4, 6.7, and 39.1, respectively. Interclass correlation between the three evaluators of turbidity was 0.966. With the cut point set at 4+, sensitivity was 41.1% (CI 95%: 30.6-51.5), and specificity was 97.7% (CI 95%: 94.7-100). In hypertensive patients, positive predictive value was 95% (CI 95%: 87-100) and negative predictive value was 53.3% (CI 95%: 42.5-64). Conclusion: Turbidity test is an easy, fast, cheap, and reproducible analysis. Because of its high specificity it is ideal to study pregnant women, particularly those with hypertension, for proteinuria.RESUMEN: Determinar la confiabilidad de la prueba del ácido sulfosalicílico en la detección rápida y semicuantificación de la proteinuria. Métodos: estudio descriptivo, prospectivo llevado a cabo en el Hospital Universitario San Vicente de Paúl, Medellín, Colombia. Se incluyeron 98 mujeres gestantes con proteinuria y 129 sin proteinuria. La prueba de turbidez con ácido sulfosalicílico se comparó con la medición de proteinuria en 24 horas. Resultados: los coeficientes de probabilidad (likelihood ratio) para los resultados de la prueba fueron los siguientes: 1+ = 0,4; 2+: = 0,7; 3+ = 3,4; 4+ = 6,7 y 5+ = 39,1. La correlación entre los tres evaluadores de la turbidez fue 0,966. Con un punto de corte de 4+ la sensibilidad fue 41,1% (IC 95%: 30,6- 51,5), la especificidad fue 97,7% (IC 95%: 94,7-100). Cuando la prueba se aplicó solamente a las pacientes hipertensas el valor predictivo positivo fue 95% (IC 95%: 87-100) y el valor predictivo negativo fue 53,3% (IC 95%: 42,5-64). Conclusiones: la prueba de turbidez con ácido sulfosalicílico es fácil, rápida, económica y reproducible. Por su baja sensibilidad no es útil como método de tamización pero por su alta especificidad es ideal para la confirmación rápida de proteinuria en las gestantes hipertensas.8application/pdfengUniversidad de Antioquia, Facultad de MedicinaMedellín, Colombiahttps://creativecommons.org/licenses/by-nc-sa/4.0/https://creativecommons.org/licenses/by-nc-sa/2.5/co/Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Pregnancy-Induced HypertensionPreeclampsiaProteinuriaSulfosalicylic Acid TestUse of sulfosalicylic acid in the detection of proteinuria and its application to hypertensive problems in pregnancyUso del ácido sulfosalicílico para la detección de proteinuria y su aplicación a problemas de hipertensión en el embarazoArtículo de investigaciónhttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionIatreia266324IatreiaPublicationORIGINALVelásquezJesús_2011_SulfosalicylicProteinuriaPregnancy.pdfVelásquezJesús_2011_SulfosalicylicProteinuriaPregnancy.pdfArtículo de investigaciónapplication/pdf280059https://bibliotecadigital.udea.edu.co/bitstreams/c09402d1-6bf2-4409-80cb-7b6c10a52bd9/download5105c463e929f18842428d509639a39dMD51trueAnonymousREADCC-LICENSElicense_urllicense_urltext/plain; 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