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Plasma Exogenous Creatinine Clearance Test in Dogs: Comparison with Other Methods and Proposed Limited Sampling Strategy

Identifieur interne : 00B391 ( Main/Exploration ); précédent : 00B390; suivant : 00B392

Plasma Exogenous Creatinine Clearance Test in Dogs: Comparison with Other Methods and Proposed Limited Sampling Strategy

Auteurs : A. D. J. Watson [Australie] ; Hervé P. Lefebvre [France] ; Didier Concordet [France] ; Valérie Laroute [France] ; Jean-Pierre Ferré [France] ; Jean-Pierre Braun [France] ; Fabrice Conchou [France] ; Pierre-Louis Toutain [France]

Source :

Journal of Veterinary Internal Medicine [ 0891-6640 ] ; 2002-01.

RBID : ISTEX:8D5234D10922FD831A68F12A4F4EF81386BB838B

English descriptors

Abstract

Plasma clearance of creatinine was evaluated for assessment of glomerular nitration rate (GFR) in dogs. In 6 healthy dogs (Experiment 1), we determined 24‐hour urine clearance of endogenous creatinine, plasma, and urine clearances of exogenous creatinine administered at 40, 80, and 160 mg/kg in a crossover design (linearity study), plasma iothalamate clearance, and plasma and urine clearances of 14C‐inulin. In Experiment 2, plasma creatinine and iothalamate clearances were compared, and a linearity study was performed as for Experiment 1 in 6 dogs with surgically induced renal impairment. Experiment 3 compared plasma creatinine clearance with plasma iothalamate clearance before and 3 weeks after induction of moderate renal impairment in 6 dogs. Plasma creatinine clearances were calculated by both noncompartmental and compartmental analyses. In Experiment 1, plasma inulin clearance was higher (P < .001) than other clearance values. Plasma creatinine clearances at the 3 dose rates did not differ from urine inulin clearance and each other. In Experiment 2, plasma creatinine clearances were about 14% lower than plasma iothalamate clearance (P < .05). In Experiment 3, decreases in GFR assessed by plasma clearances of iothalamate and creatinine were similar. Renal failure decreased the daily endogenous input rate of creatinine by 25%. Limiting sampling strategies for optimizing GFR calculation were proposed, allowing an error lower than 6.5% with 4 blood samples. These results suggest that determination of plasma creatinine clearance by a noncompartmental approach offers a reliable, inexpensive, rapid, and convenient means of estimating GFR in routine practice.

Url:

https://api.istex.fr/document/8D5234D10922FD831A68F12A4F4EF81386BB838B/fulltext/pdf

DOI: 10.1111/j.1939-1676.2002.tb01603.x

Affiliations:

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<term>Beagle</term>
<term>Bolus</term>
<term>Bolus administration</term>
<term>Clearance</term>
<term>Compartmental</term>
<term>Creatine</term>
<term>Creatinine</term>
<term>Creatinine clearance</term>
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<term>Tricompartmental</term>
<term>Urine</term>
<term>Urine clearance</term>
<term>Urine clearances</term>
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<front><div type="abstract" xml:lang="en">Plasma clearance of creatinine was evaluated for assessment of glomerular nitration rate (GFR) in dogs. In 6 healthy dogs (Experiment 1), we determined 24‐hour urine clearance of endogenous creatinine, plasma, and urine clearances of exogenous creatinine administered at 40, 80, and 160 mg/kg in a crossover design (linearity study), plasma iothalamate clearance, and plasma and urine clearances of 14C‐inulin. In Experiment 2, plasma creatinine and iothalamate clearances were compared, and a linearity study was performed as for Experiment 1 in 6 dogs with surgically induced renal impairment. Experiment 3 compared plasma creatinine clearance with plasma iothalamate clearance before and 3 weeks after induction of moderate renal impairment in 6 dogs. Plasma creatinine clearances were calculated by both noncompartmental and compartmental analyses. In Experiment 1, plasma inulin clearance was higher (P < .001) than other clearance values. Plasma creatinine clearances at the 3 dose rates did not differ from urine inulin clearance and each other. In Experiment 2, plasma creatinine clearances were about 14% lower than plasma iothalamate clearance (P < .05). In Experiment 3, decreases in GFR assessed by plasma clearances of iothalamate and creatinine were similar. Renal failure decreased the daily endogenous input rate of creatinine by 25%. Limiting sampling strategies for optimizing GFR calculation were proposed, allowing an error lower than 6.5% with 4 blood samples. These results suggest that determination of plasma creatinine clearance by a noncompartmental approach offers a reliable, inexpensive, rapid, and convenient means of estimating GFR in routine practice.</div>
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Plasma Exogenous Creatinine Clearance Test in Dogs: Comparison with Other Methods and Proposed Limited Sampling Strategy

Plasma Exogenous Creatinine Clearance Test in Dogs: Comparison with Other Methods and Proposed Limited Sampling Strategy

Source :

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri