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Test ID CRT24 Creatinine, 24 Hour, Urine


Specimen Required


Only orderable as part of a profile. For more information see:

-NMH24 / N-Methylhistamine, 24 Hour, Urine

-RB24 / Retinol-Binding Protein, 24 Hour, Urine

-A124 / Alpha-1-Microglobulin, 24 Hour, Urine


Secondary ID

610597

Useful For

Urinary creatinine, in conjunction with serum creatinine, is used to calculate the creatinine clearance, a measure of renal function

 

Normalizing urinary analytes to account for the variation in urinary concentration

Method Name

Only orderable as part of a profile. For more information see:

-NMH24 / N-Methylhistamine, 24 Hour, Urine

-RB24 / Retinol-Binding Protein, 24 Hour, Urine

-A124 / Alpha-1-Microglobulin, 24 Hour, Urine

 

Enzymatic Colorimetric Assay

Reporting Name

Creatinine, 24 HR, U

Specimen Type

Urine

Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 30 days
  Frozen  30 days
  Ambient  14 days

Clinical Information

Creatinine is formed from the metabolism of creatine and phosphocreatine, both of which are principally found in muscle. Thus, the amount of creatinine produced is in large part dependent upon the individual's muscle mass and tends not to fluctuate much from day-to-day.

 

Creatinine is not protein-bound and is freely filtered by glomeruli. All of the filtered creatinine is excreted in the urine.

 

Renal tubular secretion of creatinine also contributes to a small proportion of excreted creatinine. Although most excreted creatinine is derived from an individual's muscle, dietary protein intake, particularly of cooked meat, can contribute to urinary creatinine levels.

 

The renal clearance of creatinine provides an estimate of glomerular filtration rate.

Reference Values

Only orderable as part of a profile. For more information see:

-NMH24 / N-Methylhistamine, 24 Hour, Urine

-RB24 / Retinol-Binding Protein, 24 Hour, Urine

-A124 / Alpha-1-Microglobulin, 24 Hour, Urine

 

Normal values mg per 24 hours:

Males: 930-2955 mg/24 hours

Females: 603-1783 mg/24 hours

 

Reference values have not been established for patients who are less than 18 years of age.

 

For SI unit Reference Values, see https://www.mayocliniclabs.com/order-tests/si-unit-conversion.html

Cautions

The reliability of 24-hour urinary creatinine determinations is, as for all timed urine collections, very dependent on accurately collected 24-hour specimens.

 

Intraindividual variability in creatinine excretion may be due to differences in muscle mass or amount of ingested meat.

 

Acute changes in glomerular filtration rate, before a steady state has developed, will alter the amount of urinary creatinine excreted.

 

Rifampicin, levodopa, and calcium dobesilate (eg, Dexium) cause artificially low creatinine results. As tested, according to CLSI recommendation, methyldopa causes artificially low creatinine results.

 

Dicynone (Etamsylate) at therapeutic concentrations may lead to falsely low results.

 

N-ethylglycine at therapeutic concentrations and DL-proline at concentrations greater or equal to 1 mmol/L gives falsely high results.

Day(s) Performed

Monday through Sunday

Report Available

1 day

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

NY State Approved

Yes

Urine Preservative Collection Options

Note: The addition of preservative or application of temperature controls must occur within 4 hours of completion of the collection.

 

Ambient

Yes

Refrigerate

Preferred

Frozen

Yes

50% Acetic Acid

Yes

Boric Acid

Yes

Diazolidinyl Urea

Yes

6M Hydrochloric Acid

Yes

6M Nitric Acid

Yes

Sodium Carbonate

Yes

Thymol

No

Toluene

No