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Urine Reagent Strips Are Inaccurate for Assessing Hypohydration: A Brief Report

机译:尿液试剂条是不准确的,用于评估脱氧:简要报告

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Objective: To assess the diagnostic ability of urine reagent strips to identify hypohydration based on urine specific gravity (USG). Design: This study examined the agreement of USG between strips and refractometry with Bland-Altman, whereas the diagnostic ability of the strips to assess hypohydration was performed by receiver operating characteristic analysis. Setting: Arkansas high school football preseason practice. Participants: Four hundred fourteen fresh urine samples were analyzed. Main Outcome Measures: Urine specific gravity was assessed by both reagent strips and refractometry. Cutoffs of >1.020 and >1.025 were used for identifying hypohydration. Results: Bland-Altman analysis showed agreement of the 2 methods. Overall diagnostic ability of the urine strip to identify hypohydration was fair (area under the curve 72%-78%). However, the sensitivity to correctly identify hypohydration was poor (63%-71%), and the specificity of correctly identifying euhydration was poor to fair (68%-83%). Conclusion: The urine strip method is not valid for assessing hypohydration.
机译:目的:评估尿液试剂条鉴定基于尿液比重(USG)脱氧的诊断能力。设计:本研究审查了利用Bland-Altman之间USG之间USG的协议,而通过接收器操作特征分析进行条带评估过氧水溶液的诊断能力。环境:阿肯色州高中足球季前赛练习。参与者:分析了四百四四新鲜的尿液样本。主要结果措施:两种试剂条和折射测定评估尿比重。 > 1.020和> 1.025的截止值用于识别臭氧水溶液。结果:Bland-Altman分析显示了2种方法的一致性。尿条鉴定臭氧的总体诊断能力是公平的(曲线下的面积72%-78%)。然而,正确鉴定过氧化氮的敏感性差(63%-71%),正确识别官方水合的特异性差,公平差(68%-83%)。结论:尿条方法无效用于评估臭氧水溶液。

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