title: Role of dipstick in detection of haeme pigment due to rhabdomyolysis in victims of Bam earthquake.
abstract: Avoiding life-threatening complications of rhabdomyolysis depends on early diagnosis and prompt management. The aim of this study was to evaluate the role of urinary dipstick test in the detection of haeme pigment in patients who were at risk of acute renal failure (ARF) due to rhabdomyolysis after suffering injury in the Bam earthquake. Serum creatine phosphokinase (CPK) level was used as the gold standard for prediction of ARF. ARF developed in 8 (10%) of 79 patients studied. We found no significant differences in the sensitivity, specificity and accuracy of dipstick urine and serum CPK tests for identifying patients who were at risk of ARF. However, dipstick urine test is an easy test that can be performed quickly at an earthquake site.
authors.affiliation: Department of Nephrology, Tehran University of Medical Sciences, Tehron, Islamic Republic of Iran.
authors.forename: M
authors.initials: M
authors.lastname: Amini
authors.forename: A
authors.initials: A
authors.lastname: Sharifi
authors.forename: I
authors.initials: I
authors.lastname: Najafi
authors.forename: P
authors.initials: P
authors.lastname: Eghtesadi-Araghi
authors.forename: M R
authors.initials: MR
authors.lastname: Rasouli
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D003402:Creatine Kinase / Q000097:blood; D003430:Cross-Sectional Studies; D004190:Disasters / Q000706:statistics & numerical data; D042241:Early Diagnosis; D055866:Earthquakes / Q000706:statistics & numerical data; D006418:Heme / Q000652:urine*; D006801:Humans; D007223:Infant; D007492:Iran / Q000453:epidemiology; D008403:Mass Screening / Q000379:methods / Q000592:standards; D008875:Middle Aged; D011934:Reagent Strips; D012206:Rhabdomyolysis / Q000097:blood / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000652:urine*; D012680:Sensitivity and Specificity; D018709:Statistics, Nonparametric; D014504:Urban Health / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000150:complications
chemical_list: D011934:Reagent Strips; D006418:Heme; D003402:Creatine Kinase