Accuracy of Uric Acid and Cholesterol Levels Examination in Distinguishing Pleural Effusion Fluid Exudates and Transudates
نویسندگان
چکیده
Background: Light's criteria was reported 25% of misclassification transudates as exudates. This study aimed to analyse the accuracy examining uric acid levels and pleural fluid levels, cholesterol ratios distinguish exudates in effusions. Subjects Method: a cross-sectional design conducted at Dr. Moewardi Hospital, Surakarta, Central Java, from July August 2019. The subjects were 30 effusion patients treated pulmonology ward. dependent variables transudates. independent (1) Uric pleural fluid; (2) ratio between serum; (3) Pleural levels; (4) cholesterol between serum. instruments criteria laboratory examination. diagnosis's analysed using sensitivity, specificity, area under ROC (AUC) curve. Results: showed sensitivity specificity 86% 83%, with cut-off 32.00 for transudate results. AUC value = 0.82 p 0.012. Serum sensitivity 71% 61%, 175.50 results. 0.67 0.194. Pleural 87%, 7.25 0.83 0.009. Examination serum 70%, 7.10 transudate 0.65 0.249. Conclusion: can be used routine examinations distinguish Keyword s : accuracy, acid, exudates, cholesterol, Correspondence: Yusup Subagio Sutanto. Department Pulmonology Respiratory Medicine, Faculty Medicine Universitas Sebelas Maret, Surakarta. Jl. Kolonel Sutarto 132, Jebres, Surakarta 57126, Java. Email: dr_yusupsubagio@yahoo.com. Mobile: +62811284165. Indonesian Journal (2021), 06(02): 159-167 https://doi.org/10.26911/theijmed.2021.06.02.05
منابع مشابه
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1 Valdes L, Sanjose E, Alvarez D, Sarandeses A, Pose A, Chomon B, et al. Diagnosis of tuberculous pleurisy using the biologic parameters adenosine deaminase, lysozyme, and interferon gamma. Chest 1993; 103:458-65 2 Piras MA, Gakis C, Budroni M, Andreoni C. Adenosine deaminase activity in pleural effusions: an aid to differential diagnosis. Br Med J 1978; ii:1751-52 3 Van Keimpema AR, Slaats EH,...
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1 Valdes L, Sanjose E, Alvarez D, Sarandeses A, Pose A, Chomon B, et al. Diagnosis of tuberculous pleurisy using the biologic parameters adenosine deaminase, lysozyme, and interferon gamma. Chest 1993; 103:458-65 2 Piras MA, Gakis C, Budroni M, Andreoni C. Adenosine deaminase activity in pleural effusions: an aid to differential diagnosis. Br Med J 1978; ii:1751-52 3 Van Keimpema AR, Slaats EH,...
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متن کاملCholesterol: a useful parameter for distinguishing between pleural exudates and transudates.
Previously established criteria were used to classify 253 pleural effusions as transudates (65 cases), neoplastic exudates (67 cases), tuberculous exudates (65 cases), or miscellaneous exudate (56 cases). The parameters pleural LDH (PLDH), pleural LDH/serum LDH ratio (P/SLDH), and pleural protein/serum protein ratio (P/SPROT) were compared with pleural cholesterol (PCHOL) and the pleural choles...
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Background and purpose: Pleural effusion is a common finding in many pulmonary or extrapulmonary diseases and its analysis is essential for differentiating transudates from exudates. Light's criteria is questioned by some researchers and measuring of cholesterol in pleural effusion is proposed due to its simplicity and low cost. This study evaluates the diagnostic value of pleural fluid chole...
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ژورنال
عنوان ژورنال: Indonesian journal of medicine
سال: 2021
ISSN: ['2549-0265']
DOI: https://doi.org/10.26911/theijmed.2021.06.02.05