Phosphate (urine)

 

Alternative names, keywords

Urine phosphate output, fractional excretion of phosphate

Samples required

24 hour urine collection in acidified container.

Instructions for 24h urine collection available here or on UHSussex public site.

Urine and serum creatinine and serum phosphate recommended for interpretation.

For fractional excretion of phosphate send

plain random urine and
clotted blood (gold cap, 5 mL tube). Smaller tubes are available for paediatric samples.
 

Test indications

 

Test information

Fractional excretion of phosphate (FEPO4):

FEPO4= (urine PO4 x serum creatinine x100)/(serum PO4 x urine creatinine)
(calculation needs serum and urine creatinine in same units)

Factors affecting test performance/ results

No specific interferences noted.

Results should always be assessed in conjunction with the patient’s medical history, clinical examination and other findings.

Reference range

13 - 42 mmol/24h
Source: Roche Cobas® Phosphate kit insert 2023-10, V14.0

Fractional excretion of phosphate:

> 20% implies renal loss (may be due to hormonal as well as renal causes)
≤ 20% implies renal conservation e.g. decreased intake.

Source: tbc

Turnaround time

Within 24h of acidification.

Enquiries

Biochemistry (Automation)