Topic:Creatinine
Creatinine is a waste product formed from the normal breakdown of muscle tissue and is filtered out of the bloodstream by the kidneys. In horses, creatinine levels are commonly measured to assess renal function and overall health. Elevated creatinine levels can indicate impaired kidney function or other conditions affecting renal performance. Conversely, lower levels might be associated with reduced muscle mass or other metabolic factors. This page aggregates peer-reviewed research studies and scholarly articles that explore the measurement, interpretation, and clinical relevance of creatinine levels in equine health and disease diagnostics.
Hematology, blood typing, and immunology of the neonatal foal. Hematologic parameters change during the first 10 days of life. Erythrocytes increase in number but decrease in size and hemoglobin concentration. The PCV, hemoglobin, and platelet count also decrease. Total blood and plasma volume and, to lesser extent, erythrocyte volume decrease. Normal neonatal foals may have immature neutrophils (up to 5 per cent bands), and their early rapid rise in neutrophil numbers may be accompanied by a lymphopenia. Monocytes, eosinophils, and basophils are all absent or low initially. Infectious processes can cause rapid and variable changes in the leukogram. Howev...
Evaluation of a technique for measurement of gamma-glutamyltranspeptidase in equine urine. gamma-Glutamyltranspeptidase (GGT) activity in equine urine was measured, using an assay developed for use with serum and was found to be reproducible. The GGT activity was measured in samples prepared by serial dilution of exogenous GGT with equine urine, and the activity was determined to be linear between 21 IU/L and 407 IU/L. The behavior of exogenously added GGT was compared in equine serum and urine. The enzyme behaved similarly in both fluids. The GGT activity was measured in serum and urine samples after storage at -20, 4, and 25 C for 24 and/or 72 hours. Enzyme activity decreased afte...
Renal clearance and fractional excretion of electrolytes over a 24-hour period in horses. Four consecutive 6-hour urine collections were obtained from 10 healthy adult horses given free access to a complete pelleted ration and water. Samples of blood were collected from the jugular vein at the start of the test period and then every 6 hours for 4 consecutive samples. Mean renal clearance of creatinine (CCr) varied significantly during the four, 6-hour collections, ranging from 1.474 in period II to 2.702 ml/min/kg of body weight during period III (P less than 0.05). The CCr in period III was significantly different from the 24-hour mean value of 1.877 ml/min/kg (P less than 0.05). ...
Assessment of a reflectance photometer in a veterinary laboratory. This report is an assessment of clinical chemistry dry reagent methodology for veterinary use. A portable reflectance photometer and dry reagent strips were used to measure canine whole blood hemoglobin, and total bilirubin, glucose, cholesterol, creatinine and urea in canine, bovine, equine and feline sera. Creatine kinase and lactate dehydrogenase were assayed in canine, bovine and equine sera. The following aspects of performance are reported: within run variation determined on canine samples, between run variation using a commercial control, correlations between dry reagent and wet reagent...
Blood metabolite profiles of broodmares and foals. Serum amino acid profiles and other serum characteristics of broodmares and their foals wee studied. Compared with mares, foals had significantly higher concentrations of serum leucine, threonine, aspartic acid, asparagine, glutamic acid, glutamine, proline and tyrosine, glucose, cholesterol, creatinine and phosphorus. Foals had significantly less serum histidine, glycine, cystine, taurine, protein and urea nitrogen. Lysine and/or methionine supplementation of pregnant and lactating broodmare diets were conducted. Changes in serum amino acid profiles caused by dietary amino acid supplemented w...
Effects of large doses of phenylbutazone administration to horses. The effects of large doses of phenylbutazone were evaluated in clinically normal horses. The drug was given to 4 groups of 2 horses each at the rate of 30 mg/kg of body weight, orally, or 30, 15, or 8 mg/kg IV daily for up to 2 weeks. All horses became anorectic and depressed after 2 to 4 phenylbutazone treatments, and the horses given 15 or 30 mg/kg died on or between days 4 and 7 of treatment. A decrease in total blood neutrophil count occurred in all horses, and was associated with toxic left shift in horses given the 2 larger dosage schedules. The horses also had progressive increases in s...
Changes in plasma biochemistry in horses competing in a 160 km endurance ride. Plasma biochemical values were measured in 14 horses, before a 160 km endurance ride, immediately after 85 km, immediately after 160 km, after 30 min recovery period and the day after the ride. For statistical analysis, a group of 7 horses that completed the ride at a mean speed of 234 metres per min (m/min) (Fast Group) was compared with 7 horses that completed the ride at a mean speed of 144 m/min (Slow Group). Estimations were made of sodium, potassium, chloride, bicarbonate, glucose, creatinine, urea, bilirubin, iron, total protein, albumin, calcium, phosphate, cholesterol, alkaline phosph...
Uroperitoneum in the foal. The case records of 22 foals with uroperitoneum were reviewed. The most common cause was a defect in the urinary bladder. A sex predilection for males was apparent. Clinical signs were tachycardia, tachypnea, and abdominal distention. The history pertaining to micturition was variable. Hyponatremia, hypochloremia, and hyperkalemia were marked. A reliable means of diagnosis was considered to be the demonstration of a wide disparity in serum and peritoneal fluid creatinine values. Surgical repair was successful in 11 of 18 cases, although surgical and anesthetic complications were common. Some o...
Assessment of the calcium and phosphorus nutrition in horses by analysis of urine. Studied were made to determine if a practical assessment of the calcium and phosphorus nutrition of horses could be obtained from an analysis of urine samples. The concentrations of Ca and P in urine samples changed markedly when groups of 4 mares were fed diets containing from 1.0 to 3.9 g Ca/kg and from 1.5 to 6.1 g P/kg, but serum concentrations of Ca and P remained relatively constant. The concentrations in single urine samples were considered unreliable indicators of excretion of the minerals because of variations in water excretion, and two methods to overcome this problem were examined....
Haematological and plasma biochemical parameters in endurance horses during training. Eleven horses were studied throughout a 12 week training schedule. Serial blood samples were taken for haematological analysis and an extensive biochemical profile, including the following parameters: sodium, potassium, chloride, bicarbonate, glucose, creatinine, urea, bilirubin, iron, total protein, albumin, alkaline phosphatase, aspartate aminotransferase, creatine kinase, gamma glutamyl transferase, calcium phosphate and cholesterol. There were few significant changes detected and it was concluded that routine haematological and biochemical screening has no useful role in assessing the fitn...
Renal function of the pony and the horse. Simultaneous renal clearances of inulin (CIN), p-aminohippurate (CPAH), and creatinine (CCR) were measured in hydrated mares (6 ponies and 2 horses). The CIN and CPAH were determined during steady-state infusion at 3 different infusion rates. A 6-fold change in plasma IN concentration did not produce alteration in CIN, nor was there a difference between the ponies and horses (P greater than 0.2). The overall average (mean +/- SEM) was 190.6 +/- 5.89 ml . min-1 . 100 kg of body weight-1. There was no difference noted between simultaneous CIN and CPAH. Clearance of PAH remained essentially const...
Urinary indices for differentiation of prerenal azotemia and renal azotemia in horses. The urine urea nitrogen/plasma urea nitrogen ratio (Uun/Pun), urine creatinine/plasma creatinine ratio (Ucr/Pcr), urine osmolality/plasma osmolality ratio (Uosm/Posm), and fractional excretion of filtered sodium (FENa) were evaluated in 16 horses with acute azotemia to ascertain the significance of each index in the differentiation of prerenal azotemia from renal azotemia. Renal azotemia was diagnosed when renal biopsy or postmortem histologic examination demonstrated evidence of organic renal disease or when azotemia was found in the presence of isosthenuria. The diagnosis of prerenal azotemi...
A biochemical study of the Arab Horse Society’s marathon race. Blood samples were taken before and after a cross country race over the marathon distance of 42 km. There was a rise in blood glucose and plasma free fatty acids and glycerol associated with a rise in plasma cortisol and glucagon but the fall in insulin was not significant (P > 0.05). Plasma potassium and albumin concentrations increased, calcium decreased and there was no change in sodium or bicarbonate concentrations. There was an increase in plasma urea, creatinine, uric acid, bilirubin and isocitrate dehydrogenase but no change in alkaline phosphatase. There was a rise in plasma creatine k...
Further studies on the metabolic effects of long distance riding: Golden Horseshoe Ride 1979. Blood samples were taken before and immediately after 80 km and 40 km rides held on consecutive days and analysed for haematocrit, blood glucose and lactate, plasma sodium, potassium, calcium, albumin, free fatty acids (FFA), glycerol, bicarbonate, insulin, cortisol, glucagon, urea, creatinine, uric acid, bilirubin and alkaline phosphatase. Unusually hot weather probably contributed to haemoconcentration with a significant (P < 0.001) increase in haematocrit and plasma albumin. A fall in blood glucose, with a rise in FFA and glycerol were consistent with long distance riding and were associ...
Changes of blood metabolites in horses after racing, with particular reference to uric acid. Changes in concentration of a number of blood metabolites in 30 thoroughbred horses were recorded after an 1110 metre race. No significant changes occurred in blood urea or aspartate aminotransferase during the three hours after racing. Plasma sodium, potassium and calcium levels were increased immediately after racing but had returned to normal one hour after racing. Plasma phosphate showed a significant fall in concentration one hour after racing. Creatinine and lactic acid concentrations were elevated ten minutes after racing and although they subsequently decreased, the level of lactic aci...
Plasma biochemistry changes in thoroughbred foals during the first 4 weeks of life. Changes in plasma sodium, potassium, chloride, total carbon dioxide, urea, creatinine, glucose, total bilirubin, iron, total protein, albumin, alkaline phosphatase (AP), aspartate amino transferase (AST), calcium, inorganic phosphorus, cholesterol and triglycerides were studied in 45 Thoroughbred foals 15 min to 28 days after birth. The results were analysed in 3 groups; Group 1 (0--12 h), Group 2 (12--36 h), Group 3 (1--4 weeks). When Group 2 was compared to Group 1, there were significant reductions of sodium, creatinine, iron and calcium and elevations of total protein and bilirubin. When G...
Pre-renal azotaemia in a pony with an oesophageal obstruction. A case of pre-renal azotaemia is described in a 12 year old pony resulting from oesophageal obstruction of 8 days duration. Blood urea nitrogen, creatinine, calcium, inorganic phosphate, sodium, potassium, chloride and bicarbonate concentrations were monitored throughout the recovery period. After relief of the obstruction normal blood concentrations were quickly restored.
Therapeutic use of gentamicin in horses: concentrations in serum, urine, and synovial fluid and evaluation of renal function. Serum, synovial fluid, and urine concentrations of gentamicin were measured in normal mature horses which had been given a single dose of the drug. Mean peak serum concentration (16.8 microgram/ml) occurred in horses 30 minutes after they were given a single intramuscular dose of 4.4 mg of gentamicin/kg of body weight. In horses given a smaller dose of gentamicin (1.7 mg/kg), mean peak serum concentrations of gentamicin (10.2 microgram/ml) appeared at 1 hour. Synovial fluid concentration was maximum at 2 hours for both doses; in horses given the larger dose, mean peak concentration was 6.4 mic...
Plasma biochemistry alterations in horses during an endurance ride. The effects of prolonged strenous exercise on the plasma concentrations of sodium, potassium, calcium, chloride, bicarbonate, phosphate, albumin, cholesterol, glucose, creatinine, bilirubin, alkaline phosphatase, creatine phosphokinase, lactic dehydrogenase and asparate amino transferase were studied in a group of 26 horses competing in an endurance ride. There were significant changes in most parameters, when control values were compared with those taken immediately after the ride. There was also a significant correlation between several biochemical parameters and heart rate taken 30 minutes ...
Myodegeneration and suspected selenium/vitamin E deficiency in horses. The clinical, macroscopic, and microscopic features of 10 isolated cases of myodegeneration in foals were compared. Low values for selenium and vitamin E content were found in the hay and oats from one breeding stable. Serum selenium concentrations in mares at this stable were also low. Creatinine phosphokinase and serum glutamic oxaloacetic transaminase activities were increased in 2 young foals at this stable; in 1 of these foals, both enzymatic activities were markedly reduced after treatment with vitamin E and selenium. Nutritional myodegeneration was suggested as a diagnosis in this stabl...
Renal clearance and excretion of endogenous substances in the small pony. Renal clearance and excretion of endogenous substances were studied in 13 small adult ponies (152 plus or minus 93 (standard deviation (SD)) kg). Normal data of serum and urinary concentrations, clearance, and excretion of creatinine, osmolality, free water, sodium, potassium, and chloride during a 12-hour period are presented. Significant linear regressions on body weight (BW) were obtained for creatinine clearance (Ccr (ml/hr) = 127.2 times BW (kg) - 1553), osmolar clearance (Cosm(ml/hr) = 1.81 times BW (kg) m0.3), and free water (CH2O(ml/hr) = - 1.43 BW (kg) - 25.0). Compared with renal exc...
Levels of some chemical constituents in normal horse sera. THE chemical analyses reported in this paper arc the result of an investigation on the sera of thirty normal horses from a heavy draught horse stable in Glasgow. Determinations have been made of scrum proteins (albumin and total globulin), alkaline phosphatase, bilirubin, calcium, magnesium, inorganic phosphate and urea. Estimations of some of these constituents have already been carried out by a number of workers, but in the majority of cases the investigation has been confined to one or two constituents relevant to the problem being studied, and many of the data available are a by-product of...