Associations of platelet indices with proteinuria and chronic kidney disease

J Int Med Res. 2020 Jun;48(6):300060520918074. doi: 10.1177/0300060520918074.

Abstract

Objectives: Platelet (PLT) indices are predictive in many diseases and conditions. The relationships of these indices with proteinuria and progression of renal disease are not well known. This study aimed to assess PLT indices in patients with primary glomerular nephrotic range proteinuria (PGNRP), with and without chronic kidney disease (CKD), and to compare these indices with those of healthy individuals (His).

Methods: This cross-sectional study was performed from January 2015 to May 2015. HIs (n = 57) and patients with PGNRP (n = 41) were enrolled. PLT indices and blood biochemistry parameters were compared between HIs and patients with PGNRP, as well as between subgroups of patients with PGNRP who had CKD (n = 23) and those who did not have CKD (n = 18).

Results: There were no statistically significant differences in any PLT indices (i.e., platelet number, mean platelet volume, plateletcrit, and platelet distribution width) between HIs and patients with PGNRP, or between the subgroups of patients with PGNRP. However, patients with PGNRP who had CKD exhibited higher median C-reactive protein and mean albumin levels, compared with patients who did not have CKD.

Conclusions: Pathological processes in proteinuria and CKD are not associated with PLT indices.

Keywords: C-reactive protein; Platelet indices; chronic kidney disease; mean platelet volume; nephrotic range proteinuria; platelet count; platelet distribution width; plateletcrit; primary glomerular disease; serum albumin.

MeSH terms

  • Adult
  • Blood Platelets / metabolism*
  • Blood Platelets / physiology
  • Case-Control Studies
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Mean Platelet Volume / methods
  • Middle Aged
  • Platelet Count / methods
  • Proteinuria / blood*
  • Proteinuria / metabolism
  • Renal Insufficiency, Chronic / blood*
  • Renal Insufficiency, Chronic / metabolism
  • Turkey