CORRELATION OF MEAN VALUES OF SERUM CREATININE BASED ON ECHOGENICITY OF KIDNEY ON RENAL ULTRASOUND

Abstract

Objective: To determine the mean values of serum creatinine based on echogenicity of kidneys on renal ultrasound. Materials and Methods: A total of 120 selected patients of nephrology fulfilling the inclusion criteria were selected and referred to radiology department for ultrasound abdomen or KUB.  All renal ultrasounds were done by real time gray scale ultrasound. Ultrasound of the liver/spleen was performed simultaneously in comparison with kidneys in order to determine grades of renal parenchymal disease.  Liver and spleen echogenicity must be normal for valid comparison. In vitro estimation of serum creatinine was done. Information of each patient was collected through a pre designed proforma (attached herewith). The results were analyzed by SPSS software by descriptive and inferential statistics. Design:   Descriptive cross sectional. Results: - The average age of the patients was 33.3±12.57 years. The mean serum creatinine was 2.82±1.69 mg/dl for Grade 1, 3.87±2.08 mg/dl for Grade 2, 3.95±1.58 mg/dl for Grade 3, and 7.52 mg/dl for Grade 4. Mean serum creatinine was significant among grade.  Conclusion: It is conclude that renal echogenicity is a better parameter than serum creatinine for estimating renal function in CKD, and has the added advantage of irreversibility. Key Words: Chronic Kidney Disease, Serum creatinine, Renal ultrasound, Echogenicity