The results of the annual check-up will be collected to evaluate the best urinary marker for fractional sodium excretion and salt status will be correlated to clinical outcome measures.
Patients with cystic fibrosis need extra salt as they have increased losses through sweat. Current advices are to follow and supplement if needed, however the way to follow salt depletion is unclear. The best way is to calculate fractional salt excretion. This needs a simultaneous blood and urine sample for electrolytes and creatinin. Urinary surrogate markers have been validated on only 10 patients. At the annual check-up patients with cystic fibrosis receive these measurements. The investigators will collect the measurements and calculate fractional excretion and the possible surrogate markers on urine. Further this will be correlated to nutritional and pulmonary status and patient subgroups at risk will be identified.
Study Type
OBSERVATIONAL
Enrollment
222
fractional sodium excretion will be compared to urinary sodium/creatinin, sodium/potassium ratio's and sodium concentration.
subgroup analysis will be performed to identify the patient groups at risk for sodium depletion
Gent University Hospital
Ghent, Belgium
fractional sodium excretion (percent)
= (serum creatinin X urinary Sodium)/(plasma sodiumX urinary creatinin)
Time frame: 1 year
Urinary sodium/urinary creatinin (mmol/mmol)
calculated based on urinary results
Time frame: 1 year
Fractional Chloride excretion (percent)
= (serum creatinin X urinary Chloride)/(plasma Chloride X urinary creatinin)
Time frame: 1 year
Fractional Potassium excretion (%)
= (serum creatinin X urinary Potassium)/(plasma PotassiumX urinary creatinin)
Time frame: 1 year
ratio urinary sodium/urinary potassium
= calculation of ration urinary sodium/potassium
Time frame: 1 year
Body mass index
= Weight/Height X Height expressed as SD of the local population based on Flemish growth charts
Time frame: 1 year
Forced expiratory volume in 1 second
measured with lungfunction testing expressed as % of normal for height
Time frame: 1 year
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