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BioTribune Magazine

, Volume 21, Issue 1, pp 72–75 | Cite as

Évaluation de la fonction rénale

  • H. Izzedine
  • G. Deray
Original
  • 23 Downloads

Résumé

L’insuffisance rénale est une maladie fréquente et constitue un indicateur de morbidité et de mortalité. Il est donc essentiel de la dépister le plus rapidement possible. La créatininémie a longtemps été l’indicateur utilisé pour évaluer la fonction rénale. Cependant, une élévation, même modérée, de la créatininémie correspond, en règle, à une altération importante de la fonction rénale. En pratique clinique quotidienne, pour apprécier la fonction rénale, il faut utiliser le taux sanguin de créatinine et sa clairance estimée par la formule de Cockcroft à partir de la créatininémie, du sexe, de l’âge, du poids du patient.

Mots clés

Créatininémie Clairance de la créatinine Insuffisance rénale 

Assessing renal function

Abstract

Renal impairment is one of the predictors of cardiovascular morbi-mortality. Early diagnosis is thus crucial. Usually serum creatinine is used to assess renal function. However, a major decrease in renal function can occur when serum creatinine is only slightly increased. In practice, creatinine clearance should be used, and it may be easily estimated with the Cockcroft and Gault equation from serum creatinine, gender, age and body weight.

Keywords

Creatininemia Creatinine clearance Renal insufficiency 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Département de NéphrologieGroupe hospitalier Pitié-SalpêtrièreParisFrance

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