The chemical physical analysis in the urine summary as a triage in clinical management

Detalhes bibliográficos
Autor(a) principal: Sousa, Paulo César Pereira de
Data de Publicação: 2023
Outros Autores: Petrola, Antônio Neves Solon, Férrer, Carol Machado, Vale, Lucas Aguiar, Xavier, Luis Gonzaga Moura, Kubrusly, Marcos
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/39922
Resumo: The summary urine test consists of physical-chemical analysis and sedimentoscopy. When the physical-chemical phase is normal, it is discussed not carrying out the sedimentoscopy step. This study aimed to evaluate the importance of normal physicochemical results of urine as a screening test for sedimentoscopy. The results of 3661 routine urine summary tests (medium jet) performed at the Clementino Fraga Laboratory, Fortaleza-Ceará, in January 2018 were analyzed. The collected data were recorded, tabulated and analyzed in the SPSS software version 17.0. It was observed that 77.92% of the urine tests showed no physical-chemical alterations. Of the 2658 urines with normal physicochemical analyses, 87.06% had normal sedimentoscopies within a confidence interval of 85.78% - 88.34%. Analyzing the negative predictive value (NPV) of urine with normal physicochemical and correlating it with the alterations found in the sedimentoscopies, we verified that this method has 99.8% of accuracy for all the elements found. The absence of leukocyte esterase and red blood cells in the physical-chemical analysis has an accuracy for sedimentoscopy of 97.5% and 98.2%, respectively. The present study suggests the use of normal physicochemical analysis as an exclusion factor for sedimentoscopy.
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spelling The chemical physical analysis in the urine summary as a triage in clinical managementEl análisis físico químico en el sumario de orina como triaje en el manejo clinicA análise físico química no sumário de urina como triagem na conduta clínicaUrinaAnálise qualitativaSedimentos.OrinaAnalisis cualitativoSedimentos.UrineQualitative analysisSediments.The summary urine test consists of physical-chemical analysis and sedimentoscopy. When the physical-chemical phase is normal, it is discussed not carrying out the sedimentoscopy step. This study aimed to evaluate the importance of normal physicochemical results of urine as a screening test for sedimentoscopy. The results of 3661 routine urine summary tests (medium jet) performed at the Clementino Fraga Laboratory, Fortaleza-Ceará, in January 2018 were analyzed. The collected data were recorded, tabulated and analyzed in the SPSS software version 17.0. It was observed that 77.92% of the urine tests showed no physical-chemical alterations. Of the 2658 urines with normal physicochemical analyses, 87.06% had normal sedimentoscopies within a confidence interval of 85.78% - 88.34%. Analyzing the negative predictive value (NPV) of urine with normal physicochemical and correlating it with the alterations found in the sedimentoscopies, we verified that this method has 99.8% of accuracy for all the elements found. The absence of leukocyte esterase and red blood cells in the physical-chemical analysis has an accuracy for sedimentoscopy of 97.5% and 98.2%, respectively. The present study suggests the use of normal physicochemical analysis as an exclusion factor for sedimentoscopy.El análisis de orina resumen consiste en análisis físico-químico y sedimentoscopia. Cuando la fase físico-química es normal, se discute no realizar el paso de sedimentoscopia. Este estudio tuvo como objetivo evaluar la importancia de los resultados fisicoquímicos normales de la orina como prueba de detección para la sedimentoscopia. Se analizaron los resultados de 3661 análisis de orina de rutina (chorro medio) realizados en el Laboratorio Clementino Fraga, Fortaleza-Ceará, en enero de 2018. Los datos recolectados fueron registrados, tabulados y analizados en el software SPSS versión 17.0. Se observó que el 77,92% de los exámenes de orina no presentaron alteraciones físico-químicas. De las 2658 orinas con análisis fisicoquímicos normales, el 87,06% tuvo sedimentoscopias normales dentro de un intervalo de confianza de 85,78% - 88,34%. Analizando el valor predictivo negativo (VPN) de la orina con fisicoquímica normal y correlacionándolo con las alteraciones encontradas en las sedimentoscopias, comprobamos que este método tiene un 99,8% de precisión para todos los elementos encontrados. La ausencia de esterasa leucocitaria y glóbulos rojos en el análisis físico-químico tiene una precisión para sedimentoscopia del 97,5% y 98,2%, respectivamente. El presente estudio sugiere el uso de análisis fisicoquímicos normales como factor de exclusión para la sedimentoscopia.O exame sumário de urina é composto pela análise físico-químico e a sedimentoscopia. Quando a fase físico-química se encontra em normalidade, discute-se a não realização da etapa da sedimentoscopia. Este estudo teve como objetivo avaliar a importância dos resultados  físico-químicos normais da urina como triagem ao exame de sedimentoscopia.  Foram analisados os resultados de 3661 exames de sumário de urina de rotina (jato médio) realizados no Laboratório Clementino Fraga, Fortaleza-Ceará, no mês de janeiro de 2018. Os dados coletados foram registrados, tabulados e analisados no software SPSS versão 17.0. Foi observado que 77,92% dos exames de urina não apresentavam alterações físico-químicas. Nas 2658 urinas com análises físico-químicas normais, 87,06% apresentam sedimentoscopias normais dentro de um intervalo de confiança de 85,78% - 88,34%. Analisando o valor preditivo negativo (VPN) das urinas com físico-químicas normais e correlacionando com as alterações encontradas nas sedimentoscopias, verificamos que este método tem 99,8% de acurácia para todos os elementos encontrados. A ausência de esterase leucocitária e hemácias na análise físico-química tem uma acurácia para sedimentoscopia de 97,5% e 98,2%, respectivamente. O presente estudo sugere a utilização da análise físico-químicas normais como fator de exclusão ao exame de sedimentoscopia.Research, Society and Development2023-01-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3992210.33448/rsd-v12i2.39922Research, Society and Development; Vol. 12 No. 2; e8012239922Research, Society and Development; Vol. 12 Núm. 2; e8012239922Research, Society and Development; v. 12 n. 2; e80122399222525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/39922/32742Copyright (c) 2023 Paulo César Pereira de Sousa; Antônio Neves Solon Petrola; Carol Machado Férrer; Lucas Aguiar Vale; Luis Gonzaga Moura Xavier; Marcos Kubruslyhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSousa, Paulo César Pereira de Petrola, Antônio Neves Solon Férrer, Carol Machado Vale, Lucas Aguiar Xavier, Luis Gonzaga Moura Kubrusly, Marcos 2023-02-14T20:07:52Zoai:ojs.pkp.sfu.ca:article/39922Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2023-02-14T20:07:52Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv The chemical physical analysis in the urine summary as a triage in clinical management
El análisis físico químico en el sumario de orina como triaje en el manejo clinic
A análise físico química no sumário de urina como triagem na conduta clínica
title The chemical physical analysis in the urine summary as a triage in clinical management
spellingShingle The chemical physical analysis in the urine summary as a triage in clinical management
Sousa, Paulo César Pereira de
Urina
Análise qualitativa
Sedimentos.
Orina
Analisis cualitativo
Sedimentos.
Urine
Qualitative analysis
Sediments.
title_short The chemical physical analysis in the urine summary as a triage in clinical management
title_full The chemical physical analysis in the urine summary as a triage in clinical management
title_fullStr The chemical physical analysis in the urine summary as a triage in clinical management
title_full_unstemmed The chemical physical analysis in the urine summary as a triage in clinical management
title_sort The chemical physical analysis in the urine summary as a triage in clinical management
author Sousa, Paulo César Pereira de
author_facet Sousa, Paulo César Pereira de
Petrola, Antônio Neves Solon
Férrer, Carol Machado
Vale, Lucas Aguiar
Xavier, Luis Gonzaga Moura
Kubrusly, Marcos
author_role author
author2 Petrola, Antônio Neves Solon
Férrer, Carol Machado
Vale, Lucas Aguiar
Xavier, Luis Gonzaga Moura
Kubrusly, Marcos
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Sousa, Paulo César Pereira de
Petrola, Antônio Neves Solon
Férrer, Carol Machado
Vale, Lucas Aguiar
Xavier, Luis Gonzaga Moura
Kubrusly, Marcos
dc.subject.por.fl_str_mv Urina
Análise qualitativa
Sedimentos.
Orina
Analisis cualitativo
Sedimentos.
Urine
Qualitative analysis
Sediments.
topic Urina
Análise qualitativa
Sedimentos.
Orina
Analisis cualitativo
Sedimentos.
Urine
Qualitative analysis
Sediments.
description The summary urine test consists of physical-chemical analysis and sedimentoscopy. When the physical-chemical phase is normal, it is discussed not carrying out the sedimentoscopy step. This study aimed to evaluate the importance of normal physicochemical results of urine as a screening test for sedimentoscopy. The results of 3661 routine urine summary tests (medium jet) performed at the Clementino Fraga Laboratory, Fortaleza-Ceará, in January 2018 were analyzed. The collected data were recorded, tabulated and analyzed in the SPSS software version 17.0. It was observed that 77.92% of the urine tests showed no physical-chemical alterations. Of the 2658 urines with normal physicochemical analyses, 87.06% had normal sedimentoscopies within a confidence interval of 85.78% - 88.34%. Analyzing the negative predictive value (NPV) of urine with normal physicochemical and correlating it with the alterations found in the sedimentoscopies, we verified that this method has 99.8% of accuracy for all the elements found. The absence of leukocyte esterase and red blood cells in the physical-chemical analysis has an accuracy for sedimentoscopy of 97.5% and 98.2%, respectively. The present study suggests the use of normal physicochemical analysis as an exclusion factor for sedimentoscopy.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/39922
10.33448/rsd-v12i2.39922
url https://rsdjournal.org/index.php/rsd/article/view/39922
identifier_str_mv 10.33448/rsd-v12i2.39922
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/39922/32742
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 12 No. 2; e8012239922
Research, Society and Development; Vol. 12 Núm. 2; e8012239922
Research, Society and Development; v. 12 n. 2; e8012239922
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
_version_ 1797052616963784704

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