Evaluation of aminoaciduria in severely traumatized patients

Wei Liu, Juliet M. Lopez, Dorothy J. VanderJagt, Robert H. Glew, Donald E. Fry, Carol Schermer, Don M. Morris

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Background: It has been documented in the literature that hypocalcemia, hypoaminoacidemia, and hyperaminoaciduria are sequelae of trauma. The aminoaciduria of patients with different types and severity of traumatic injuries was investigated. Methods: Eight severely traumatized patients (ISS range, 20-43 years) and eight age-, gender-, and weight-matched controls were studied. Plasma and urine were collected 2.5-72 h after admission. Quantification of 28 amino acids in plasma and urine was performed by reversed-phase high-performance liquid chromatography. Urine concentrations of amino acids were indexed to creatinine. Results: The patients' mean serum concentrations of 4 amino acids (arginine, threonine, isoleucine, and glutamine) were significantly decreased, 2 others (tryptophan and glutamic acid) were significantly increased, and 22 were unchanged (p-value ≤ 0.05). Fractional (urinary) excretion of 11 amino acids was increased in the patients. The patients' serum total calcium and albumin concentrations were decreased, but the mean ionized calcium concentration was not significantly different from the controls. Conclusions: The results of this study showed that aminoaciduria involving many amino acids is common for patients with different traumatic injuries and that the aminoaciduria is correlated with a reduction of the total serum calcium concentration.

Original languageEnglish (US)
Pages (from-to)123-128
Number of pages6
JournalClinica Chimica Acta
Volume316
Issue number1-2
DOIs
StatePublished - 2002
Externally publishedYes

Keywords

  • Fractional urinary excretion
  • Serum amino acid
  • Serum calcium
  • Traumatic injury

ASJC Scopus subject areas

  • Biochemistry
  • Clinical Biochemistry

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  • Cite this

    Liu, W., Lopez, J. M., VanderJagt, D. J., Glew, R. H., Fry, D. E., Schermer, C., & Morris, D. M. (2002). Evaluation of aminoaciduria in severely traumatized patients. Clinica Chimica Acta, 316(1-2), 123-128. https://doi.org/10.1016/S0009-8981(01)00750-1